Individual provider Active NPI

Mahmoud Nabil Sabbagh, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Detroit, MI
National Provider Identifier
1770898090
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
4301097384 Issued in MI
Practice address
261 Mack Ave Ste 188
Detroit, MI 48201-2417
Phone
(313) 745-4600
Fax
(313) 745-1165
NPI assigned
Aug 11, 2010
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L1834999 MI
Physical Medicine & Rehabilitation Physician 208100000X L2449674 MI
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301097384 MI Primary

Addresses

Primary practice location

261 Mack Ave Ste 188
Detroit, MI 48201-2417

Mailing address

26617 Woodshire St
Dearborn Heights, MI 48127-4619

Other practice location 1

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 575-4226

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
I20140519002242 MI Practitioner - Physical Medicine and Rehabilitation 7719100874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Practice addresses (Care Compare)

1611 Monroe St
Dearborn, MI 48124-2912
Phone (313) 254-4039

23852 Michigan Ave
Dearborn, MI 48124-1829

261 Mack Ave
Detroit, MI 48201-2417

3901 Beaubien 1St Floor
Detroit, MI 48201-2119
Phone (313) 745-5227

3901 Beaubien St
Detroit, MI 48201-2119

4160 John R
Detroit, MI 48201-2017

4160 John R St
Detroit, MI 48201-2017

4201 Saint Antoine St
Detroit, MI 48201-2153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1834999MIMDInternal Medicine Physician
L2449674MIMDPhysical Medicine & Rehabilitation Physician
4301097384MIMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Radiology Inc. Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Northland Radiology Inc Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
VHS Physicians of Michigan Internal Medicine CurrentSince Jul 29, 2015 Accepting new patients
Michigan Sports and Spine Center PC Physical Medicine & Rehabilitation CurrentSince Jul 2, 2014 Accepting new patients
VHS Rehabilitation Institute of Michigan Inc Past Accepting new patients

Locations

6001 W Outer Dr
Detroit, MI 48235
Phone (313) 341-1431

261 Mack Ave
#108
Detroit, MI 48201

261 Mack Ave
Ste 188
Detroit, MI 48201
Phone (313) 745-1203

261 Mack Ave
Ste 210
Detroit, MI 48201
Phone (313) 745-7610

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

26222 Telegraph Rd
Ste 100
Southfield, MI 48033
Phone (248) 827-3024

20905 Greenfield Rd
Ste 105
Southfield, MI 48075
Phone (248) 569-0296

20905 Greenfield Rd
Ste 406M
Southfield, MI 48075
Phone (248) 513-8229

26222 Telegraph Rd
Southfield, MI 48033
Phone (248) 827-2557

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

Interoperability endpoints

  • Direct secure messaging: msabbagh@direct.dmc.org
  • Direct secure messaging: mahmoud.sabbagh.1@9704.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1770898090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26617 WOODSHIRE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE STE 188",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-745-4600",
            "fax_number": "313-745-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-575-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABBAGH",
        "first_name": "MAHMOUD",
        "middle_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L1834999",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "L2449674",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301097384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.