NPIMap

Individual provider Active NPI

Hamead Moshrefi

  • Rheumatology Physician
  • Michigan Center, MI
National Provider Identifier
1891173696
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
5101023819 Issued in MI
Practice address
4304 Page Ave Ste 200
Michigan Center, MI 49254-1078
Phone
(517) 202-7224
NPI assigned
May 12, 2015
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 305186 NY
Rheumatology Physician 207RR0500X 5101023819 MI Primary

Addresses

Primary practice location

4304 Page Ave Ste 200
Michigan Center, MI 49254-1078

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

1551 Richmond Rd Ste 1A
Staten Island, NY 10304-2338
Phone (718) 226-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200730002192 NY Practitioner - Rheumatology 3678828670 Reassigns benefits to 1 organization
I20231009001133 MI Practitioner - Rheumatology 3678828670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2015
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)

205 N E Ave
Jackson, MI 49201-1753

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

744 W Michigan Ave
Jackson, MI 49201-1900

813 W Michigan Ave
Henry Ford Allegiance Wound Care Center M
Jackson, MI 49201-4158
Phone (517) 205-6430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305186NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Sep 5, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc Rheumatology CurrentSince Sep 5, 2023 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Henry Ford Health System Rheumatology CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health System CurrentSince Jan 1, 2025 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients
W.a. Foote Memorial Hospital, Inc PastSince Sep 5, 2023 Accepting new patients

Locations

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

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

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

744 W Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-2146

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

4304 Page Ave
Ste 200
Michigan Center, MI 49254
Phone (517) 205-1000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1551 Richmond Rd
Ste 1A
Staten Island, NY 10304
Phone (718) 303-0140

1776 Richmond Rd
Staten Island, NY 10306
Phone (718) 370-8900

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: hameadmoshrefi@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: hmoshrefi281133@direct.hfhs.org

Organizations & group practices 10

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.

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1891173696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 PAGE AVE STE 200",
            "city": "MICHIGAN CENTER",
            "state": "MI",
            "postal_code": "492541078",
            "telephone_number": "517-202-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Richmond Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042338",
            "country_code": "US",
            "telephone_number": "718-226-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSHREFI",
        "first_name": "HAMEAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "305186",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "5101023819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan Center, MI

Sources for this page

Verify at the official NPI Registry.