Individual provider Active NPI

Mohammed T Masri, MD

  • Hematology & Oncology Physician
  • Mount Clemens, MI
National Provider Identifier
1669409439
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301106637 Issued in MI
Practice address
1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903
Phone
(586) 493-3440
Fax
(586) 493-3445
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 4301106637 MI Primary

Addresses

Primary practice location

1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903

Mailing address

1080 Harrington St Ste 202
Mount Clemens, MI 48043-2903
Phone (586) 493-3440

Other practice location 1

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 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
I20191127000170 MI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4688664436 Reassigns benefits to 1 organization
I20240226000583 CO Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4688664436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren OaklandGroup PAC ID 0547173213, 51 clinicians
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

1080 Harrington St
Suite 202
Mount Clemens, MI 48043-2903
Phone (586) 493-3440

1606 Prairie Ctr Pkwy
Brighton, CO 80601-4005

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland Internal Medicine CurrentSince Nov 14, 2019 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Mar 6, 2025 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Mar 6, 2025 Accepting new patients
McLaren Oakland CurrentSince Nov 14, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

43097 Woodward Ave
Ste 100
Bloomfield Township, MI 48302
Phone (248) 334-0050

5680 Bow Pointe Dr
Ste 202
Clarkston, MI 48346
Phone (248) 922-6650

1295 Barry Dr
Ste B
Lapeer, MI 48446
Phone (810) 667-4994

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1080 Harrington St
Ste 202
Mount Clemens, MI 48043
Phone (586) 493-3440

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

Interoperability endpoints

  • Direct secure messaging: mohammed.masri.1@22710.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1669409439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 HARRINGTON ST STE 202",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432903",
            "telephone_number": "586-493-3440",
            "fax_number": "586-493-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 HARRINGTON ST STE 202",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432903",
            "telephone_number": "586-493-3440",
            "fax_number": "586-493-3445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Harrington St",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432920",
            "country_code": "US",
            "telephone_number": "586-493-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASRI",
        "first_name": "MOHAMMED",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301106637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.