Active NPI
Abobaker Mohammed
- Integrative Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1811820459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- P142820
- Practice address
- 2233 Rowland Ave SE
Grand Rapids, MI 49546-5801 - Phone
- (906) 675-9629
- NPI assigned
- Jun 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | P142820 | NY | Primary |
Addresses
Primary practice location
2233 Rowland Ave SE
Grand Rapids, MI 49546-5801
Mailing address
2233 Rowland Ave SE
Grand Rapids, MI 49546-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2233 Rowland Ave SE
Grand Rapids, MI 49546-5801
9 Meron Dr
Monroe, NY 10950-8436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P142820 | NY | MD | Integrative Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1811820459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 ROWLAND AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 ROWLAND AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495465801",
"telephone_number": "906-675-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED",
"first_name": "ABOBAKER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": "NY",
"license": "P142820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.