Individual provider Active NPI

Masoud Ahmadmehrabi

  • General Practice Physician
  • Southfield, MI
National Provider Identifier
1669595641
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301086117 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3151
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301086117 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

2829 Catalpa Cir
Ann Arbor, MI 48108-1713
Phone (734) 975-6933

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
I20101025001224 MI Practitioner - Internal MedicinePractitioner - Pathology 7113110990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pathology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Michigan Providers PLLCGroup PAC ID 5395157218, 16 clinicians

Practice addresses (Care Compare)

100 Powell Dr
Suite 8
Dundee, MI 48131-8645
Phone (734) 823-5900

3280 Washtenaw Ave
Ann Arbor, MI 48104-4283
Phone (734) 389-2000

5800 Highland Rd
Waterford, MI 48327-1827
Phone (248) 290-5700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Michigan Providers PLLC CurrentSince Nov 6, 2020 Accepting new patients

Locations

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

2300 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 299-8550

100 Powell Dr
Ste 8
Dundee, MI 48131
Phone (734) 823-5900

641 W 9 Mile Rd
Ste C
Ferndale, MI 48220
Phone (248) 206-1600

20311 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 499-6000

37595 7 Mile Rd
Livonia, MI 48152
Phone (734) 462-2300

5800 Highland Rd
Waterford, MI 48327
Phone (248) 290-5700

375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1669595641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 CATALPA CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081713",
            "telephone_number": "734-975-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADMEHRABI",
        "first_name": "MASOUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301086117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.