Active NPI
Mohamed Mahmoud Jaber, M D
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301098779
- Practice address
- 3990 John R St
Detroit, MI 48201-2018 - Phone
- (313) 745-5111
- Fax
- (313) 745-3500
- NPI assigned
- Jul 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DR.0056088 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301098779 | MI | |
| General Practice Physician | 208D00000X | 4301098779 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 4301098779 | MI | Primary |
Addresses
Primary practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
4617 Allen Rd
Allen Park, MI 48101-2765
Phone (313) 779-8113
Other practice location 1
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-8882
Other practice location 2
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL, NJ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500
3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0056088 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfield Rehabilitation Company | Diagnostic Radiology | Current | Accepting new patients |
| Mary Washington Healthcare Providers LLC | Diagnostic Radiology | Current | Accepting new patients |
| Southfield Rehabilitation Company | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| Prime Radiology Consultants P.C. | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| Kellam & Associates, P. C. | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Hospital Group | Diagnostic Radiology | Current | Accepting new patients |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| McLaren Flint | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Pain Therapy Associates LTD. | General Practice | Past | Accepting new patients |
| Southwest Medical Associates Inc. | Past | Accepting new patients | |
| Advanced Radiology Services PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
7619 Solutions Ctr
Chicago, IL 60677
937 N Opdyke Rd
Auburn Hills, MI 48326
Phone (248) 373-7600
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
4 Columbus Ave
Ste 160
Bay City, MI 48708
Phone (989) 377-4477
274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
11012 E 13 Mile Rd
Ste 111
Warren, MI 48093
Phone (586) 558-8470
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
Interoperability endpoints
- https://api.platform.athenahealth.com/1708/brand/1/csg/1/fhir/r4
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Diagnostic Radiology Physician
- Owosso, MI
- NPI 1811723679
-
dba Surgeons Choice Medical Center
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
Diagnostic Radiology
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
Diagnostic Radiology, MI
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- General Practice Physician
- Coldwater, MI
- NPI 1124055009
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Huron Valley-Sinai Hospital
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1942598990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 ALLEN RD",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012765",
"telephone_number": "313-779-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-745-5111",
"fax_number": "313-745-3500"
}
],
"practiceLocations": [
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-8882",
"fax_number": "303-724-8882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13813 Metro Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124343",
"country_code": "US",
"telephone_number": "855-674-4624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JABER",
"first_name": "MOHAMED",
"middle_name": "MAHMOUD",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0056088",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301098779",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301098779",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301098779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.