Mounir Khaled, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301091157 Issued in MI

Practice address

8944 Macomb St
Grosse Ile, MI 48138-2089

Phone

(734) 675-0705

Fax

(734) 675-0747

NPI assigned

Sep 22, 2007

Last updated

Apr 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Merit-based Incentive Payment System (MIPS)

Final score

22.5 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Downriver Clinic PC

  • Internal Medicine Physician
  • Grosse Ile, MI
  • NPI 1205073285
  Medicare reassignment NPD Authorized official
• Downriver Clinic PC

  • Urgent Care Clinic/Center
  • Grosse Ile, MI
  • NPI 1104063817
  NPD (past) Authorized official
• Saratoga Urgent Care PC

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1043492689
  NPD (past)
• Saratoga Urgent Care PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1619937919
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)
• Western Wayne Urgent Care PC

  • Internal Medicine Physician
  • Canton, MI
  • NPI 1033231667
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oakwood Healthcare Inc

  dba Beaumont Outpatient Diabetes Education

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1760678809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8944 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382089",
            "telephone_number": "734-675-0705",
            "fax_number": "734-675-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8944 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382089",
            "telephone_number": "734-675-0705",
            "fax_number": "734-675-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALED",
        "first_name": "MOUNIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-22",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760678809",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "1108298981",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Jaafar
• Deborah Joseph
• Joyce K Vaclav DO PC
• Amy L.S. Kapala
• Douglas John Kelley, D.O.
• Sumera Khalid, DMD
• Isabella Kowal, RN
• Anthony P Kozma, DO
• Kevin Kwan
• Elizabeth A Leon, LMSW

• Internal Medicine Physician in Grosse Ile, MI
• Providers in Grosse Ile, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.

Verify at the official NPI Registry.