Organization Active NPI

Hammoud Medical Center PC

  • Family Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1922006048
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301078769 Issued in MI
Legal business name
HAMMOUD MEDICAL CENTER PC
Practice address
22146 Ford Rd
#3
Dearborn Heights, MI 48127-2419
Phone
(313) 562-9588
Fax
(313) 562-9589
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Dr. Richard Hammoud, MD
Title
Owner/Physician
Phone
(313) 562-9588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301078769 MI Primary

Addresses

Primary practice location

22146 Ford Rd
#3
Dearborn Heights, MI 48127-2419

Mailing address

PO Box 77700
Dept 77261
Detroit, MI 48277-0700
Phone (313) 562-9588

Other identifiers 5

IdentifierTypeStateIssuer
1255330767MedicaidMI
080H223200OtherMIBC GROUP
080H223200OtherMIBCN GROUP
DC4758OtherMIRAILROAD MEDICARE GROUP
4650667MedicaidMI

National Provider Directory

National Provider Directory

Locations

22146 Ford Rd
#3
Dearborn Heights, MI 48127
Phone (313) 562-9588

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1922006048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77700",
            "address_2": "DEPT 77261",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482770700",
            "telephone_number": "313-562-9588",
            "fax_number": "313-562-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22146 FORD RD",
            "address_2": "#3",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272419",
            "telephone_number": "313-562-9588",
            "fax_number": "313-562-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOUD MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "313-562-9588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255330767",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "080H223200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "080H223200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DC4758",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4650667",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.