Individual provider Active NPI

Mohamad Hazem Raslan, M.D

  • Pulmonary Disease Physician
  • Canton, MI
National Provider Identifier
1619938768
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MR057633 Issued in MI
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200449690OtherMITAX ID
4579131MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000381 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1850384561 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Lung and Sleep Association PCGroup PAC ID 5799194981, 5 clinicians
Urgent Care Inspire PLCGroup PAC ID 4183121148, 2 clinicians
M Hazem Raslan MD PCGroup PAC ID 9638162332, 3 clinicians

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

LicenseStateTypeSpecialty
MR057633MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Lung & Sleep Association PC Pulmonary Disease CurrentSince Aug 27, 2020 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 30, 2018 Accepting new patients
Oakwood Ambulatory LLC Internal Medicine CurrentSince Oct 23, 2017 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Oct 23, 2017 Accepting new patients
Urgent Care Inspire PLC Pulmonary Disease CurrentSince Jul 1, 2025 Accepting new patients
Advanced Pulmonary & Sleep Associates PC Pulmonary Disease PastSince Aug 1, 2008 Accepting new patients
Advanced Lungs & Critical Care Specialists PLLC Pulmonary Disease PastSince Oct 5, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.