Mohamed Ally Health Plaza PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NMO59644 Issued in MI

Legal business name

MOHAMED ALLY HEALTH PLAZA PLLC

Practice address

387 N State Rd
Ste a
Otisville, MI 48463-9503

Phone

(810) 631-4060

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naveed Mahfooz, MDNPI 1780639450

Title

Owner

Phone

(810) 631-4060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naveed Mahfooz, MD

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1780639450
  Medicare reassignment Care Compare group NPD Authorized official
• Moeen Haque, MD

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1588390751
  Medicare reassignment Care Compare group NPD
• Imran Mir

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1467628388
  Medicare reassignment Care Compare group NPD
• Rachel Curtis

  • Family Nurse Practitioner
  • Otisville, MI
  • NPI 1639636996
  Medicare reassignment NPD
• Krista Marie Heckert, FNP

  • Nurse Practitioner
  • Saginaw, MI
  • NPI 1306333927
  Medicare reassignment NPD
• Steven Allen Holman, AGNP

  • Gerontology Nurse Practitioner
  • Caro, MI
  • NPI 1851718399
  Medicare reassignment NPD
• Theresa Irene Jensen

  • Gerontology Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1639569916
  Medicare reassignment NPD
• Lori Jones, FNP-BC

  • Family Nurse Practitioner
  • Bridgeport, MI
  • NPI 1760946495
  Medicare reassignment NPD
• Zahid Mahmood, DO

  • Family Medicine Physician
  • Caro, MI
  • NPI 1740805464
  Medicare reassignment NPD
• Hilda Mbidzo, NP

  • Nurse Practitioner
  • Caro, MI
  • NPI 1174968531
  Medicare reassignment NPD
• Rabeea Mirza, M.D

  • Rheumatology Physician
  • Jackson, MI
  • NPI 1679993216

  Internal Medicine

  Medicare reassignment NPD
• Mary Nelson Sabo, NP

  • Family Nurse Practitioner
  • Clio, MI
  • NPI 1942791074
  Medicare reassignment NPD

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1891103784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 N STATE RD",
            "address_2": "STE A",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639503",
            "telephone_number": "810-631-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED ALLY HEALTH PLAZA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MAHFOOZ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-631-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "NMO59644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Kurylo, CHW
• Brooke Nicole Leen, DDS
• Katelyn Lutey-Falkey, MA, LPC
• Diane Magnus, RDH
• Tijo Thomas Manthuruthil, PHARMD
• William E Norton II, D.D.S.
• Otisville Pharmacy LLC (Otisville Pharmacy)
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03510)
• Amanda Renee Southern, LMSW
• Kasey Marie Stark, DDS

• Internal Medicine Physician in Otisville, MI
• Providers in Otisville, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.