Individual provider Active NPI

Mohamed Elnaem Gismalla, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1992290613
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301502977 Issued in MI
Practice address
5061 Villa Linde Pkwy
Flint, MI 48532-3412
Phone
(810) 733-6000
Fax
(810) 733-0845
NPI assigned
Jun 25, 2018
Reactivated
Sep 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301502977 MI Primary

Addresses

Primary practice location

5061 Villa Linde Pkwy
Flint, MI 48532-3412

Mailing address

5061 Villa Linde Pkwy
Flint, MI 48532-3412
Phone (810) 733-6000

Other practice location 1

8288 S Saginaw St
Grand Blanc, MI 48439-1828
Phone (810) 694-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727000664 MI Practitioner - Internal Medicine 9032535745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Health AssociatesGroup PAC ID 3779011770, 2 clinicians

Practice addresses (Care Compare)

5061 Villa Linde Pkwy
Flint, MI 48532-3412
Phone (810) 733-6000

Hospital & facility affiliations

  • A Z Home Health Care Home health agency, Flint, MI, CCN 237695
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions20
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301502977MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Health Associates Internal Medicine CurrentSince Oct 26, 2024 Accepting new patients
Hurley Medical Center Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

5061 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 733-6000

8288 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 694-5000

Interoperability endpoints

  • Direct secure messaging: mgismalla109653@direct.hurleymc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1992290613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323412",
            "telephone_number": "810-733-6000",
            "fax_number": "810-733-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323412",
            "telephone_number": "810-733-6000",
            "fax_number": "810-733-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8288 S Saginaw St",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391828",
            "country_code": "US",
            "telephone_number": "810-694-5000",
            "fax_number": "810-694-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISMALLA",
        "first_name": "MOHAMED",
        "middle_name": "ELNAEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "deactivation_date": "2024-09-10",
        "reactivation_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.