Individual provider Active NPI

Mosab Ramzi Muhi Deen, D.O.

  • General Practice Physician
  • Bloomfield Hills, MI
National Provider Identifier
1821339797
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101020789 Issued in MI
Practice address
41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092
Phone
(248) 561-0602
NPI assigned
Mar 2, 2013
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 5101020789 MI
Internal Medicine Physician 207R00000X 5101020789 MI
Internal Medicine Physician 207R00000X 301155-01 NY
General Practice Physician 208D00000X 5101020789 MI Primary

Addresses

Primary practice location

41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092

Mailing address

601 E Main St
Ste 101
Mahomet, IL 61853-7460
Phone (248) 404-0501

Other practice location 1

305 James Cir
Royal Oak, MI 48067-4547
Phone (248) 404-0501

Other practice location 2

3200 Greenfield Rd
Dearborn, MI 48120-1802
Phone (248) 561-0602

Other practice location 3

13087 E 11 Mile Rd
Warren, MI 48088-4795
Phone (586) 393-5041

Other practice location 4

333 W. 7th St
Suite 100
Royal Oak, MI 48067-2510
Phone (248) 561-0602

Other names 1

  • Mussop Ramzi Mohammad Former name

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
I20170613000586 MI Practitioner - Internal MedicinePractitioner - Anesthesiology 2668771858 Reassigns benefits to 7 organizations
Practice locations: Livonia, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301155-01NYMDInternal Medicine Physician
5101020789MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Visiting Physicians, PLLC General Practice CurrentSince Aug 1, 2023 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Dec 24, 2020 Accepting new patients
Sunshine Treatment Institute LLC CurrentSince Sep 14, 2018 Accepting new patients
Sciometrix Inc General Practice CurrentSince Oct 15, 2023 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Dec 19, 2020 Accepting new patients
MBS Envision LLC CurrentSince Aug 2, 2020 Accepting new patients
Radius Anesthesia of Michigan PLLC Anesthesiology CurrentSince May 7, 2017 Accepting new patients
Sciometrix LLC General Practice CurrentSince Oct 15, 2023 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Dec 24, 2020 Accepting new patients
Lakeside Urgent Care, P. C. Internal Medicine Current Accepting new patients
Lakeside Urgent Care, P.C. Internal Medicine CurrentSince Dec 24, 2020 Accepting new patients
Royal Urgent Care, PLLC Internal Medicine CurrentSince Dec 24, 2020 Accepting new patients
Infinity Visiting Physician Services PLC Internal Medicine PastSince Sep 6, 2020 Accepting new patients
First Choice Urgent Care PC General Practice PastSince Dec 19, 2020 Accepting new patients

Locations

601 E Main St
Ste 101
Mahomet, IL 61853
Phone (913) 359-6001

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311

31235 Harper Ave
St Clr Shores, MI 48082
Phone (267) 817-8902

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1362182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1821339797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "address_2": "STE 101",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618537460",
            "telephone_number": "248-404-0501",
            "fax_number": "313-261-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE STE 350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045092",
            "telephone_number": "248-561-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 James Cir",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480674547",
            "country_code": "US",
            "telephone_number": "248-404-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201802",
            "country_code": "US",
            "telephone_number": "248-561-0602",
            "fax_number": "313-261-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13087 E 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480884795",
            "country_code": "US",
            "telephone_number": "586-393-5041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 W. 7th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480672510",
            "country_code": "US",
            "telephone_number": "248-561-0602",
            "fax_number": "313-261-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEN",
        "first_name": "MOSAB",
        "middle_name": "RAMZI MUHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-02",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "5101020789",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020789",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301155-01",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101020789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUSSOP",
            "last_name": "MOHAMMAD",
            "middle_name": "RAMZI",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.