NPIMap

Individual provider Active NPI

Mohammad Sunbulli, M.D

  • General Practice Physician
  • Roseville, MI
National Provider Identifier
1841571544
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301080838 Issued in MI
Practice address
18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805
Phone
(313) 348-9926
NPI assigned
Sep 8, 2011
Last updated
Jan 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301080838 MI Primary

Addresses

Primary practice location

18263 E 10 Mile Rd
Suite D
Roseville, MI 48066-5805

Mailing address

PO Box 251752
West Bloomfield, MI 48325-1752
Phone (313) 348-9926

Other names 1

  • Mohammad Sunbulli Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130225000022 MI Practitioner - Internal Medicine 6507011525 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18263 E 10 Mile Rd
Suite a
Roseville, MI 48066-5805
Phone (313) 348-9926

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Medical Center PLLC CurrentSince Mar 1, 2022 Accepting new patients
Great Lakes Medicine, PLC CurrentSince Jun 22, 2015 Accepting new patients
Mohammad Sunbulli MD PLLC CurrentSince May 1, 2014 Accepting new patients
House MDS PLC CurrentSince Sep 1, 2022 Accepting new patients
Allied Internists PLLC CurrentSince Jan 1, 2016 Accepting new patients
Joram O Mogaka MD PC CurrentSince Dec 1, 2016 Accepting new patients
Samaritan Mi Opco LLC Past Accepting new patients
Hamilton Nursing Home Inc. Past Accepting new patients
Heritage Manor Nursing & Rehab Center Past Accepting new patients
United Family Medical Associates, PLLC Past Accepting new patients
Ccla 9 LLC Past Accepting new patients
Oakridge Manor Nursing & Rehab Center LLC Past Accepting new patients
Mission Point of Warren LLC Past Accepting new patients
Internal Medicine Specialties PC Past Accepting new patients
Colonial Healthcare Center LLC Past Accepting new patients
Regency Manor Nursing & Rehabilitation Center LLC Past Accepting new patients
Mission Point of Beverly Hills LLC Past Accepting new patients

Locations

1746 Momentum Pl
Chicago, IL 60689

7612 Gratiot Ave
Detroit, MI 48213
Phone (313) 397-1907

12101 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 893-6218

18263 E 10 Mile Rd
Ste A
Roseville, MI 48066
Phone (313) 348-9926

18263 E 10 Mile Rd
Ste D
Roseville, MI 48066
Phone (586) 238-2059

18263 E 10 Mile Rd
Ste E
Roseville, MI 48066
Phone (586) 552-8696

4046 Hess Ave
Saginaw, MI 48601
Phone (989) 372-1900

50505 Schoenherr Rd
Ste 340
Shelby Township, MI 48315
Phone (586) 731-8400

27177 Lahser Rd
Ste 203
Southfield, MI 48034
Phone (248) 357-4151

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24381/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Nursing Center, Inc.Detroit, MI, CCN 235382 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 11, 2011
May 19, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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 18

Hospital & facility affiliations 10

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1841571544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251752",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483251752",
            "telephone_number": "313-348-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18263 E 10 MILE RD",
            "address_2": "SUITE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665805",
            "telephone_number": "313-348-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNBULLI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301080838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "SUNBULLI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.