Individual provider Active NPI

Suhael Momin, MD

  • Otolaryngology Physician
  • Detroit, MI
National Provider Identifier
1861783581
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301112691 Issued in MI
Practice address
2799 W Grand Blvd # K-8
Detroit, MI 48202-2608
Phone
(313) 916-3272
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301112691 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd # K-8
Detroit, MI 48202-2608

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other practice location 1

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160804001646 SC Practitioner - Otolaryngology 6406140037 Reassigns benefits to 1 organization
I20170821002070 MI Practitioner - Otolaryngology 6406140037 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301112691MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Apr 13, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jun 9, 2016 Accepting new patients
Henry Ford Health System Otolaryngology CurrentSince Aug 10, 2017 Accepting new patients
Henry Ford Health System CurrentSince Aug 10, 2017 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Sep 12, 2025 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Sep 12, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Sep 12, 2025 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince Sep 12, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Otolaryngology CurrentSince Apr 13, 2019 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Ascension Medical Group Michigan Past Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

22201 Moross Rd
Ste 155
Detroit, MI 48236
Phone (313) 499-4775

2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#K8
Detroit, MI 48202
Phone (313) 916-1089

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1111 Teneyck St
Ste 100
Jackson, MI 49201
Phone (517) 205-8940

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: smomin467738@direct.hfhs.org

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1861783581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD # K-8",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258908",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "SUHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301112691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.