Active NPI
Mujtaba Mohammed Ahmed Abdellatif, M.D
- Pulmonary Disease Physician
- Farmington Hills, MI
National Provider Identifier
1972291961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4351050882
- Practice address
- 29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817 - Phone
- (248) 350-2722
- Fax
- (248) 350-0154
- NPI assigned
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4351050882 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351050882 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 4351050882 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 4351050882 | MI |
Addresses
Primary practice location
29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Mailing address
29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926003647 | MI | Order and Referring Only - Internal Medicine | 4284097387 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mabdellatif2734570@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1972291961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29275 W 10 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362817",
"telephone_number": "248-350-2722",
"fax_number": "248-350-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29275 W 10 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362817",
"telephone_number": "248-350-2722",
"fax_number": "248-350-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELLATIF",
"first_name": "MUJTABA",
"middle_name": "MOHAMMED AHMED",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-27",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "4351050882",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351050882",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4351050882",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4351050882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.