NPIMap

Individual provider Active NPI

Mohamad S Rahbar, M.D.

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1679567762
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301076911 Issued in MI
Practice address
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone
(586) 778-4950
Fax
(586) 778-4952
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301076911 MI Primary

Addresses

Primary practice location

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805

Mailing address

19070 E 10 Mile Rd
Eastpointe, MI 48021-1449
Phone (586) 778-4950

Other identifiers 3

IdentifierTypeStateIssuer
4652465MedicaidMI
700E012740OtherMIBCBS GROUP NUMBER
MR076911OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000805 MI Practitioner - Internal Medicine 2466414800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Medical Group PCGroup PAC ID 1557679073, 5 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

19070 E 10 Mile Rd
Eastpointe, MI 48021-1449
Phone (586) 773-1383

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

  • Allied Home Health Care & Nursing Services Home health agency, Detroit, MI, CCN 237791
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Ascension River District Hospital Hospital, East China, MI, CCN 230241
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Select Specialty Hospital-Macomb County Long-term care hospital, Mount Clemens, MI, CCN 232023
  • Father Murray, A Villa Center Nursing home, Center Line, MI, CCN 235298

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
87.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076911MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Medical Group PC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Sciometrix LLC CurrentSince Apr 1, 2022 Accepting new patients
Sciometrix Inc CurrentSince Jan 15, 2023 Accepting new patients
Great Lakes Urgent Care PC of Eastside Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Great Lakes Urgent Care PC of Eastside Current Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Henry Ford Health River District Hospital Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients
Father Murray Nursing and Rehabilitation Centre Past Accepting new patients

Locations

4777 E Outer Dr
Detroit, MI 48234
Phone (313) 369-5000

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

19070 E 10 Mile Rd
Eastpointe, MI 48021
Phone (586) 445-0177

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

15565 Northland Dr W
Ste 700
Southfield, MI 48075

Interoperability endpoints

  • Direct secure messaging: mrahbar63226@direct.hfhs.org

Organizations & group practices 11

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 9

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1679567762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211449",
            "telephone_number": "586-778-4950",
            "fax_number": "586-778-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "586-778-4950",
            "fax_number": "586-778-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBAR",
        "first_name": "MOHAMAD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4652465",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "MR076911",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.