Individual provider Active NPI

Heba Mahmoud, DO

  • Hospitalist Physician
  • Detroit, MI
National Provider Identifier
1659763365
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
5101021778 Issued in MI
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

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180816003069 MI Practitioner - HospitalistPractitioner - Internal Medicine 5597066159 Reassigns benefits to 9 organizations
I20241211001803 IN Practitioner - Hospitalist 5597066159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Michigan Hospitalists PCGroup PAC ID 2365860996, 76 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Reliance Hospitalists PLLC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Sparrow Clinton Hospital CurrentSince May 1, 2019 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine Current Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Sparrow Clinton Hospital CurrentSince May 1, 2019 Accepting new patients
Oxford Urgent Care P L C CurrentSince Jul 6, 2018 Accepting new patients
Sparrow Carson Hospital Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 10, 2024 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Lakeside Urgent Care, P.C. Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Sparrow Ionia Hospital CurrentSince May 1, 2019 Accepting new patients
Michigan Emergency Services CurrentSince Sep 19, 2018 Accepting new patients
Lakeside Urgent Care, P. C. Internal Medicine Current Accepting new patients
Sparrow Carson Hospital CurrentSince May 1, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 10, 2024 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

  • Direct secure messaging: 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.

View all 18

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": "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

Verify at the official NPI Registry.