Mohammad Hussein Ayoub, MD

Individual provider Active NPI Emergency Medicine Physician · Wyandotte, MI

NPI 1740976356 · NPPES record last updated Aug 6, 2026

Key facts

NPI
1740976356
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
D0107142 (MD)
Practice address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone
(734) 246-7095
NPI assigned
Apr 17, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230522002465 MI Order and Referring Only - Emergency Medicine
Practitioner - Emergency Medicine
0749646461

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351051357MIMDEmergency Care Clinic/Center

Interoperability endpoints

  • Direct secure messaging: mayoub848044@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0107142 MD Yes
Emergency Care Clinic/Center 261QE0002X 4351051357 MI

Addresses

Primary practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

18 Williamson CT
Dearborn, MI 48126-2126
Phone (313) 979-2004

Other providers in Wyandotte, MI

All providers in Wyandotte, MI · Emergency Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.