Active NPI
Endocrine Shores PC
- Internal Medicine Physician
- Roseville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ENDOCRINE SHORES PC
- Practice address
- 18263 E 10 Mile Rd Ste D
Roseville, MI 48066-5805 - Phone
- (586) 778-4950
- NPI assigned
- May 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Hammoude, MD
- Title
- Owner
- Phone
- (586) 778-4950
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
18263 E 10 Mile Rd Ste D
Roseville, MI 48066-5805
Mailing address
PO Box 250624
Franklin, MI 48025-0624
Phone (586) 778-4950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265559488 | Other | MI | NPI |
| 4301083021 | Other | MI | ST LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120803000346 | MI | Part B Supplier - Clinic/Group Practice | 3779739990 |
Receives reassigned benefits from 5 practitioners Practice locations: Shelby Township, MI; Sterling Heights, MI |
National Provider Directory
National Provider DirectoryLocations
44700 Delco Blvd
Ste A
Sterling Heights, MI 48313
Phone (586) 446-9600
37771 Schoenherr Rd
Ste 101
Sterling Hts, MI 48312
Phone (586) 573-7971
60005 Campground Rd
Ste 600
Washington Township, MI 48094
Phone (586) 372-3500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1265559488
Internal Medicine, MI
-
- Medical Physician Assistant
- Rochester Hills, MI
- NPI 1689139156
MI, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1780943266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250624",
"city": "FRANKLIN",
"state": "MI",
"postal_code": "480250624",
"telephone_number": "586-778-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18263 E 10 MILE RD STE D",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665805",
"telephone_number": "586-778-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINE SHORES PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-03",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "HAMMOUDE",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-778-4950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1265559488",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST LICENCE",
"identifier": "4301083021",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.