Mohamad Al-Jarrah M D P C

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MOHAMAD AL-JARRAH M D P C

Practice address

36909 Schoenherr Rd Ste 100
Sterling Heights, MI 48312-3371

Phone

(586) 978-1300

Fax

(586) 978-1303

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Mohamad Al-Jarrah, MDNPI 1154382919

Title

Owner

Phone

(586) 978-1300

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamad Al-Jarrah, M.D.

  • Internal Medicine Physician
  • Southgate, MI
  • NPI 1154382919
  Medicare reassignment Authorized official
• Adeel Khan, DO

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1427614668
  Medicare reassignment NPD

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1801053244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3396",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373396",
            "telephone_number": "586-978-1300",
            "fax_number": "586-978-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36909 SCHOENHERR RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123371",
            "telephone_number": "586-978-1300",
            "fax_number": "586-978-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMAD AL-JARRAH M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "AL-JARRAH",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-978-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301057471",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3503774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110825139",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P61438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Mohr, M.P.T.

• Pulmonary Disease Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.