Organization Active NPI

Endocrine Consultants of Mid Michigan PC

  • Specialist
  • Flint, MI
National Provider Identifier
1982721296
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENDOCRINE CONSULTANTS OF MID MICHIGAN PC
Practice address
5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone
(810) 230-0788
Fax
(810) 230-8650
NPI assigned
Mar 23, 2007
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Jamal HammoudNPI 1639284672
Title
MD/Owner
Phone
(810) 230-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

5040 Villa Linde Pkwy
Flint, MI 48532-3445

Mailing address

5040 Villa Linde Pkwy
Flint, MI 48532-3445
Phone (810) 230-0788

Other practice location 1

1200 Barry Dr Ste 3600
Lapeer, MI 48446-3661
Phone (810) 245-7059

Other identifiers 2

IdentifierTypeStateIssuer
110B510470OtherMIBLUE CROSS BLUE SHIELD OF
110B510470OtherMIBLUE CARE NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000468 MI Part B Supplier - Clinic/Group Practice 4284525106 Receives reassigned benefits from 3 practitioners
Practice locations: Flint, MI; Lapeer, MI

National Provider Directory

National Provider Directory

Locations

5040 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 230-0788

5040 Villa Linde Pkwy
Ste B
Flint, MI 48532

1200 Barry Dr
Ste 3600
Lapeer, MI 48446
Phone (810) 245-7059

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCACDD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1982721296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-230-0788",
            "fax_number": "810-230-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323445",
            "telephone_number": "810-230-0788",
            "fax_number": "810-230-8650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Barry Dr Ste 3600",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484463661",
            "country_code": "US",
            "telephone_number": "810-245-7059",
            "fax_number": "810-230-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINE CONSULTANTS OF MID MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "810-230-0788"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "110B510470",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "110B510470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.