Individual provider Active NPI

Jamal Hammoud, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Flint, MI
National Provider Identifier
1639284672
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
JH045812 Issued in MI
Practice address
5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone
(810) 230-0788
Fax
(810) 230-8650
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X JH045812 MI Primary

Addresses

Primary practice location

5040 Villa Linde Pkwy
Flint, MI 48532-3445

Mailing address

5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone (810) 230-0788

Other identifiers 5

IdentifierTypeStateIssuer
JH045812OtherMIBLUE CARE NETWORK
1828144MedicaidMI
216256OtherMIMCLAREN HEALTH PLAN
JH045812OtherMIBLUE CROSS BLUE SHIELD
1102517661OtherMAHEALTHPLUS

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
I20040124000046 MI Practitioner - EndocrinologyPractitioner - Internal Medicine 0941102438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Consultants of Mid Michigan PCGroup PAC ID 4284525106, 3 clinicians

Practice addresses (Care Compare)

1397 S Linden Rd
Flint, MI 48532-4194
Phone (810) 230-0788

5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone (810) 230-0788

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
79.49
Improvement activities
40
Cost
79.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301045812MIMDEndocrinology, Diabetes & Metabolism Physician
JH045812MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Consultants of Mid Michigan PC CurrentSince Jun 1, 1987 Accepting new patients
Complete Health Systems Inc PastSince Apr 30, 2003 Accepting new patients
Ascension Genesys Hospital Past Accepting new patients

Locations

5040 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 230-0788

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

5040 Villa Linde Pkwy
Ste B
Flint, MI 48532

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACDD
  • Direct secure messaging: jhammoud1131233@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1639284672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-230-0788",
            "fax_number": "810-230-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-230-0788",
            "fax_number": "810-230-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "JAMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "JH045812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "JH045812",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1828144",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "216256",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "JH045812",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "1102517661",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.