Active NPI
Heba Mahmoud, DO
- Hospitalist Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 5101021778
- Practice address
- 4201 Saint Antoine St
Detroit, MI 48201-2153 - Phone
- (313) 478-6161
- NPI assigned
- Mar 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101021778 | MI | |
| Hospitalist Physician | 208M00000X | 02008144A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 5101021778 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
765 Ardmore St
Dearborn HTS, MI 48127-4146
Phone (313) 478-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000
Hospital & facility affiliations
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Internal Medicine | Current | Accepting new patients |
| Reliance Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Vituity - Michigan Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Oxford Urgent Care P L C | Current | Accepting new patients | |
| Sparrow Carson Hospital | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Lakeside Urgent Care, P.C. | Internal Medicine | Current | Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Michigan Emergency Services | Current | Accepting new patients | |
| Lakeside Urgent Care, P. C. | Internal Medicine | Current | Accepting new patients |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
8175 Reliable Pkwy
Chicago, IL 60686
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
43902 Woodward Ave
Ste 100
Bloomfld Hls, MI 48302
Phone (248) 724-2643
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
Interoperability endpoints
- hmahmoud4669969@direct.trinity-health.org
Organizations & group practices 18
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.
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Internal Medicine
-
- Urgent Care Clinic/Center
- Clinton Township, MI
- NPI 1720159304
Internal Medicine
-
- Medical Toxicology (Emergency Medicine) Physician
- Detroit, MI
- NPI 1316968191
-
- Specialist
- Oxford, MI
- NPI 1700036936
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1588105274
-
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
Internal Medicine
-
- Long Term Care Hospital
- Lansing, MI
- NPI 1437655842
-
- Internal Medicine Physician
- Clinton Township, MI
- NPI 1811226442
-
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1659763365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 ARDMORE ST",
"city": "DEARBORN HTS",
"state": "MI",
"postal_code": "481274146",
"telephone_number": "313-478-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-478-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "HEBA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101021778",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "02008144A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "5101021778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.