Active NPI
Mohamad Hazem Raslan, M.D
- Pulmonary Disease Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MR057633
- Practice address
- 6300 N Haggerty Rd Ste 210
Canton, MI 48187-4472 - Phone
- (734) 641-3000
- NPI assigned
- Mar 29, 2006
- Last updated
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MR057633 | MI | Primary |
Addresses
Primary practice location
6300 N Haggerty Rd Ste 210
Canton, MI 48187-4472
Mailing address
PO Box 253044
West Bloomfield, MI 48325-3044
Other practice location 1
26342 Gibraltar Rd
Flat Rock, MI 48134-1522
Phone (734) 346-0151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200449690 | Other | MI | TAX ID |
| 4579131 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mraslan113457@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
26342 Gibraltar Rd
Flat Rock, MI 48134-1522
Phone (734) 346-0151
26346 Gibraltar Rd
Flat Rock, MI 48134-1522
Phone (734) 895-0952
28100 Grand River Ave
Farmington Hills, MI 48336-5970
33101 Annapolis St
Suite 100
Wayne, MI 48184-2405
Phone (734) 467-2670
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800
6300 N Haggerty Rd
Suite 210
Canton, MI 48187-4472
Phone (734) 641-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MR057633 | MI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Lung & Sleep Association PC | Pulmonary Disease | Current | Accepting new patients |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Internal Medicine | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Urgent Care Inspire PLC | Pulmonary Disease | Current | Accepting new patients |
| Advanced Pulmonary & Sleep Associates PC | Pulmonary Disease | Past | Accepting new patients |
| Advanced Lungs & Critical Care Specialists PLLC | Pulmonary Disease | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
6300 N Haggerty Rd
Ste 210
Canton, MI 48187
Phone (734) 224-8240
42180 Ford Rd
Ste 201
Canton, MI 48187
Phone (734) 844-6042
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
26342 Gibraltar Rd
Flat Rock, MI 48134
Phone (313) 914-4590
26346 Gibraltar Rd
Flat Rock, MI 48134
Phone (717) 557-4181
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
4020 Venoy Rd
Ste 200
Wayne, MI 48184
Phone (734) 729-1900
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
Interoperability endpoints
- mraslan1252329@epic00.shdirect.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Canton, MI
- NPI 1306990676
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Pulmonary Disease Physician
- Flat Rock, MI
- NPI 1265010227
-
- Pulmonary Disease Physician
- Flat Rock, MI
- NPI 1265321442
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1003829441
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- Pulmonary Disease Physician
- Flat Rock, MI
- NPI 1992353403
-
- Pulmonary Disease Physician
- Dearborn, MI
- NPI 1487816419
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Wayne
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1619938768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 253044",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483253044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N HAGGERTY RD STE 210",
"city": "CANTON",
"state": "MI",
"postal_code": "481874472",
"telephone_number": "734-641-3000"
}
],
"practiceLocations": [
{
"address_1": "26342 Gibraltar Rd",
"address_purpose": "LOCATION",
"city": "Flat Rock",
"state": "MI",
"postal_code": "481341522",
"country_code": "US",
"telephone_number": "734-346-0151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASLAN",
"first_name": "MOHAMAD",
"middle_name": "HAZEM",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "MR057633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "200449690",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4579131",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mraslan113457@direct.beaumont.edu",
"affiliation": "N",
"address_1": "33155 Annapolis St",
"city": "Wayne",
"state": "MI",
"country_code": "US",
"postal_code": "481842405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.