MOUNIR DJEMIL MD
NPI 1053763862
Pediatrics in Grand Rapids, MI
About Mounir Djemil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNIR DJEMIL MD (NPI 1053763862) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301110650) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rice Lake, and is a graduate of Northeastern Ohio University College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mounir Djemil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
13Medicare enrollment records show Mounir Djemil reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vestaburg, MI 48891
- Reassigned Medicare billing, Michigan enrollment
- 258 clinicians in this Medicare group
Owosso, MI 48867
- Reassigned Medicare billing, Michigan enrollment
- 328 clinicians in this Medicare group
Gladwin, MI 48624
- Reassigned Medicare billing, Michigan enrollment
- 162 clinicians in this Medicare group
Juneau, WI 53039
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 clinicians in this Medicare group
Alpena, MI 49707
- Reassigned Medicare billing, Michigan enrollment
- 219 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Ishpeming, MI 49849
- Reassigned Medicare billing, Michigan enrollment
- 61 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mounir Djemil's NPI number?
The NPI number for Mounir Djemil is 1053763862. It was assigned to this individual provider in the NPPES registry on July 5, 2016.
Where is Mounir Djemil located?
Mounir Djemil practices at 330 Barclay Ave NE Suite 300, Grand Rapids, MI 49503. The listed phone number is (616) 391-8810.
What is Mounir Djemil's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mounir Djemil enrolled in Medicare?
Yes. Mounir Djemil is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mounir Djemil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mounir Djemil reassigns Medicare benefits to 13 organizations: Mymichigan Medical Center Alma (Vestaburg, MI), Memorial Hospital (Owosso, MI), Mymichigan Medical Center Gladwin (Gladwin, MI), Beaver Dam Community Hospitals Inc (Juneau, WI), Mymichigan Medical Center Alpena (Alpena, MI) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mounir Djemil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mounir Djemil accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross Blue Shield of North Dakota and 4 other insurers list Mounir Djemil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mounir Djemil was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mounir Djemil, MD · NPI 1053763862
Pediatrics physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 5, 2016.
## Identity
- **NPI:** 1053763862 (Entity type: Individual)
- **Enumerated:** July 5, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301110650 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BARCLAY AVE NE, SUITE 300, Grand Rapids, MI 49503-2556
- **Phone:** (616) 391-8810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Mymichigan Medical Center Alma (NPI 1407938590, Vestaburg, MI); Memorial Hospital (NPI 1609030600, Owosso, MI); Mymichigan Medical Center Gladwin (NPI 1073999298, Gladwin, MI); Beaver Dam Community Hospitals Inc (NPI 1831410521, Juneau, WI); Mymichigan Medical Center Alpena (NPI 1427282011, Alpena, MI); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** June 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053763862) · Data from the CMS NPPES public registry.