Mohammad Mahmud Hussain, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301069469 Issued in MI

Practice address

9632 Conant
Hamtramck, MI 48212

Phone

(313) 871-1912

Fax

(313) 871-1914

NPI assigned

Jul 21, 2006

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhussain1132792@direct.hfhs.org

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.

• Childrens Clinic of Michigan PLLC

  • Specialist
  • Hamtramck, MI
  • NPI 1912161134
  Medicare reassignment NPD Authorized official
• Hamtramck General Medical Practice PLLC

  • Primary Care Clinic/Center
  • Hamtramck, MI
  • NPI 1295074409
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1982625794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 CONANT",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "48212",
            "telephone_number": "313-871-1912",
            "fax_number": "313-871-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 CONANT",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "48212",
            "telephone_number": "313-871-1912",
            "fax_number": "313-871-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "MAHMUD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301069469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104302449",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302449",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Houghland, RN
• Jimmie Cornell Howard
• Coral Lynn Hufnagel, DNP-FNP
• Taysha L Hurt, FNP
• Khadam Hussain, DPT
• Hygeia Pharmacy
• Alisar Ibrahim, FNP
• Gina Ibrahim
• Icare Pharmacy LLC
• Imtiaz Imam Ifaz

• Pediatrics Physician in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.

Verify at the official NPI Registry.