NPIMap

Organization Active NPI

Premier Medical Clinics PC

  • Cardiovascular Disease Physician
  • Flint, MI
National Provider Identifier
1740434851
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PREMIER MEDICAL CLINICS PC
Practice address
1165 S Linden Rd
Flint, MI 48532-3406
Phone
(810) 732-5400
Fax
(810) 733-1624
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Mustafa Hassan Mahmoud Hassan, M.D.NPI 1942481643
Title
Director
Phone
(810) 732-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1165 S Linden Rd
Flint, MI 48532-3406

Mailing address

1165 S Linden Rd
Flint, MI 48532-3406
Phone (810) 732-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091210000462 MI Part B Supplier - Clinic/Group Practice 0941340665 Receives reassigned benefits from 11 practitioners
Practice locations: Flint, MI; Grand Blanc, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2013985Premier Medical Clinics1165 S Linden Rd Suite a, Flint, MI 48532Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

102 N Adelaide St
Ste D
Fenton, MI 48430
Phone (810) 600-6270

1165 S Linden Rd
#A
Flint, MI 48532
Phone (810) 732-5400

1350 E M 21
Owosso, MI 48867
Phone (989) 494-0553

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1740434851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323406",
            "telephone_number": "810-732-5400",
            "fax_number": "810-733-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323406",
            "telephone_number": "810-732-5400",
            "fax_number": "810-733-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "HASSAN MAHMOUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-732-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.