Individual provider Active NPI

Mousa S Mohamed, M.D.

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1801874029
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061794 Issued in MI
Practice address
425O N. Saginaw St.
Flint, MI 48505-5332
Phone
(810) 785-1121
Fax
(810) 785-3850
NPI assigned
Jan 6, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301061794 MI Primary

Addresses

Primary practice location

425O N. Saginaw St.
Flint, MI 48505-5332

Mailing address

4250 N Saginaw St Ste a
Flint, MI 48505-5332
Phone (810) 877-6115

Other identifiers 2

IdentifierTypeStateIssuer
104223480MedicaidMI
OB56031OtherMIBSBSM GRP

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
I20041222000772 MI Practitioner - Internal Medicine 7517925480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4250 N Saginaw St
Suite a
Flint, MI 48505-5332
Phone (810) 444-1127

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Coverage Services PC Internal Medicine CurrentSince Sep 1, 2000 Accepting new patients
Great Lakes in-Home Clinician Services Inc Past Accepting new patients
Hurley Medical Center Past Accepting new patients
Prime Medical Group PC PastSince Feb 9, 2026 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

4250 N Saginaw St
Ste A
Flint, MI 48505
Phone (810) 444-1127

Interoperability endpoints

  • Direct secure messaging: mmohamed4600@direct.hurleymc.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 3

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1801874029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N SAGINAW ST STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485055332",
            "telephone_number": "810-877-6115",
            "fax_number": "810-877-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425O N. SAGINAW ST.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485055332",
            "telephone_number": "810-785-1121",
            "fax_number": "810-785-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MOUSA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104223480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBSM GRP",
            "identifier": "OB56031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.