Individual provider Active NPI

Mohammad Jaamour, MD

  • Family Medicine Physician
  • Romeo, MI
National Provider Identifier
1770523409
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070853 Issued in MI
Practice address
241 N Main St
Romeo, MI 48065-4619
Phone
(586) 752-9694
Fax
(586) 752-7871
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301070853 MI Primary

Addresses

Primary practice location

241 N Main St
Romeo, MI 48065-4619

Mailing address

3858 Mt. Laurel
Oakland, MI 48363
Phone (859) 912-2472

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
I20040702001049 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3678550001 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo Medical , PLLC CurrentSince Sep 11, 2002 Accepting new patients

Locations

241 N Main St
Romeo, MI 48065
Phone (586) 752-9694

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1770523409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 MT. LAUREL",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "48363",
            "telephone_number": "859-912-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N MAIN ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480654619",
            "telephone_number": "586-752-9694",
            "fax_number": "586-752-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAAMOUR",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeo, MI

Sources for this page

Verify at the official NPI Registry.