Individual provider Active NPI

Mohanad Suede, MD

  • Gastroenterology Physician
  • Clinton Township, MI
National Provider Identifier
1720436843
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301110432 Issued in MI
Practice address
43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3550
Phone
(248) 221-1845
Fax
(248) 308-5525
NPI assigned
May 31, 2016
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301110432 MI Primary

Addresses

Primary practice location

43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3550

Mailing address

43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3550
Phone (248) 221-1845

Other practice location 1

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

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
I20181015002295 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 3476847898 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scope Medical Group PLLCGroup PAC ID 3779953757, 3 clinicians

Practice addresses (Care Compare)

10 W Square Lake Rd
Suite 200
Bloomfield Township, MI 48302-0467

43475 Dalcoma Dr
Suite 160
Clinton Township, MI 48038-3550
Phone (248) 221-1845

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Upper gastrointestinal (GI) endoscopy for acid reflux147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110432MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Physician Partners CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Physician Partners CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Oxford Urgent Care P L C CurrentSince Aug 15, 2018 Accepting new patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Aug 15, 2018 Accepting new patients
Alliance Health Professionals, PLLC Current Accepting new patients
Scope Medical Group PLLC Gastroenterology CurrentSince Mar 23, 2022 Accepting new patients
Michigan Internal Medicine Associates,P.C. CurrentSince Jul 1, 2019 Accepting new patients

Locations

10 W Square Lake Rd
Ste 200
Bloomfld Hls, MI 48302
Phone (248) 322-1543

5680 Bow Pointe Dr
Ste 102
Clarkston, MI 48346
Phone (248) 221-1845

15500 19 Mile Rd
Ste 360
Clinton Twp, MI 48038
Phone (313) 286-8840

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

43475 Dalcoma Dr
Ste 160
Clinton Twp, MI 48038
Phone (248) 221-1845

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

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

1012 W Huron St
Waterford, MI 48328
Phone (248) 681-1880

Interoperability endpoints

  • Direct secure messaging: msuede385127@direct.hfhs.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1720436843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383550",
            "telephone_number": "248-221-1845",
            "fax_number": "248-308-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 160",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383550",
            "telephone_number": "248-221-1845",
            "fax_number": "248-308-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15855 19 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480383504",
            "country_code": "US",
            "telephone_number": "586-263-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUEDE",
        "first_name": "MOHANAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301110432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.