Individual provider Active NPI

Mohsin Ahmad, MD

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1871177964
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301518441 Issued in MI
Practice address
11885 E 12 Mile Rd Ste 200B
Warren, MI 48093-3469
Phone
(586) 582-6630
NPI assigned
May 6, 2021
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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 4301518441 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd Ste 200B
Warren, MI 48093-3469

Mailing address

321 W Lafayette Blvd Unit 903
Detroit, MI 48226-2728

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
I20240711003655 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3274078464

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Ford PL
3A
Detroit, MI 48202-3450

1005 Kings CT
Trafford, PA 15085-2503

321 W Lafayette Blvd
Unit 903
Detroit, MI 48226-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1871177964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W LAFAYETTE BLVD UNIT 903",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD STE 200B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933469",
            "telephone_number": "586-582-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MOHSIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301518441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.