NPIMap

Individual provider Active NPI

Mohammed Alkhateeb, MD

  • Cardiovascular Disease Physician
  • Marlette, MI
National Provider Identifier
1962404517
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35074589 Issued in OH
Practice address
2750 Main St Ste 3
Marlette, MI 48453-1100
Phone
(989) 635-4023
Fax
(989) 635-5297
NPI assigned
Aug 12, 2005
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35074589 OH Primary

Addresses

Primary practice location

2750 Main St Ste 3
Marlette, MI 48453-1100

Mailing address

2750 Main St Ste 3
Marlette, MI 48453-1100
Phone (989) 635-4023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000395 MI Practitioner - Cardiovascular Disease (Cardiology) 9537154802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

2750 Main St
Suite 3
Marlette, MI 48453-1100
Phone (989) 635-4023

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074589OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Sep 6, 2022 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Fauster Cameron Inc. Past Accepting new patients

Locations

4672 Hill St
Cass City, MI 48726
Phone (989) 872-5010

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2750 Main St
Ste 3
Marlette, MI 48453
Phone (989) 635-4023

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • Direct secure messaging: malkhateeb136987@direct.covenanthealthcare.com

Organizations & group practices 5

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 8

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1962404517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MAIN ST STE 3",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531100",
            "telephone_number": "989-635-4023",
            "fax_number": "989-635-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MAIN ST STE 3",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531100",
            "telephone_number": "989-635-4023",
            "fax_number": "989-635-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHATEEB",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35074589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

Verify at the official NPI Registry.