Active NPI
Mohammed B Al-Charakh, MD
- Pulmonary Disease Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301500280
- Practice address
- Iha Pulmonary, Critical Care & Sleep Medicine
5333 McAuley Dr Ste 3111
Ypsilanti, MI 48197 - Phone
- (734) 712-7688
- Fax
- (734) 712-7056
- NPI assigned
- Apr 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301053033 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 4301500280 | MI | Primary |
Addresses
Primary practice location
Iha Pulmonary, Critical Care & Sleep Medicine
5333 McAuley Dr Ste 3111
Ypsilanti, MI 48197
Mailing address
24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200728001948 | MI | Practitioner - Internal Medicine | 8921336249 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iha Health Services Corporation
Practice addresses (Care Compare)
5333 McAuley Dr
RM 3111
Ypsilanti, MI 48197-1098
Phone (734) 712-7688
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- St Joe Mercy Hospital System Livonia
- Trinity Health Livingston Hospital
- Chelsea Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301053033 | MI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Pulmonary Disease | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Family Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
14650 E Old US Highway 12
Ste 302
Chelsea, MI 48118
Phone (248) 450-2020
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5333 McAuley Dr
Rm 3111
Ypsilanti, MI 48197
Phone (734) 712-7688
Interoperability endpoints
- malcharakh1838664@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Pulmonary Disease Physician
- Ypsilanti, MI
- NPI 1528309002
Pulmonary Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1700249141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DRIVE",
"address_2": "SUITE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IHA PULMONARY, CRITICAL CARE & SLEEP MEDICINE",
"address_2": "5333 MCAULEY DR STE 3111",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-712-7688",
"fax_number": "734-712-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-CHARAKH",
"first_name": "MOHAMMED",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-02",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "4301053033",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301500280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.