Individual provider Active NPI

Mohamed A. Mohamed, MD

  • General Practice Physician
  • Grand Rapids, MI
National Provider Identifier
1972180131
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301510896 Issued in MI
Practice address
600 Monroe Avenue NW
Ste 104
Grand Rapids, MI 49503-1470
Phone
(616) 366-4234
Fax
(855) 548-4481
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301510896 MI
Neurology Physician 2084N0400X 4301510896 MI
General Practice Physician 208D00000X 01096102A IN
General Practice Physician 208D00000X 4301510896 MI Primary

Addresses

Primary practice location

600 Monroe Avenue NW
Ste 104
Grand Rapids, MI 49503-1470

Mailing address

8348 Little Rd Ste 149
New Port Richey, FL 34654-4919
Phone (616) 366-4234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240314001873 MI Practitioner - General Practice 0143666966 Reassigns benefits to 2 organizations
I20250624002542 IN Practitioner - General Practice 0143666966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

19567 Cleveland Rd
South Bend, IN 46637-3201
Phone (574) 277-7600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510896MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jun 16, 2025 Accepting new patients
Elder Care of West Michigan PLLC CurrentSince Feb 12, 2024 Accepting new patients
Careconnectmd Michigan PC CurrentSince Jun 6, 2024 Accepting new patients
American Current Care P.a. CurrentSince Jun 16, 2025 Accepting new patients
Mobile Physician Services Inc. General Practice Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

19567 Cleveland Rd
South Bend, IN 46637
Phone (574) 277-7600

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

600 Monroe Ave NW
Ste 104
Grand Rapids, MI 49503
Phone (616) 366-4234

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1972180131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8348 LITTLE RD STE 149",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544919",
            "telephone_number": "616-366-4234",
            "fax_number": "855-548-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MONROE AVENUE NW",
            "address_2": "STE 104",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031470",
            "telephone_number": "616-366-4234",
            "fax_number": "855-548-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MOHAMED",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301510896",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301510896",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01096102A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301510896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.