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MR. MOHAMEDALMORTDA KHAIRALSEED MD
NPI 1104661776
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 26, 2024PECOS Enrolled
4160 JOHN R ST STE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mohamedalmortda Khairalseed Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MOHAMEDALMORTDA KHAIRALSEED MD (NPI 1104661776) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104661776
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MOHAMEDALMORTDA KHAIRALSEEDCredential: MD
Location Address4160 JOHN R ST STE 615Detroit, MI 48201-2022
Mailing Address1861 Stonebridge WayCanton, MI 48188-6229 · (734) 209-2143
Phone(313) 745-4195
Fax(313) 993-8669
Sole ProprietorNo
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1104661776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4160 JOHN R ST STE 615, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mohamedalmortda Khairalseed Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

WILLIAM DEAN JACOBUS DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ALFREDO MUNOZ-LAROCHE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
VEDA VYAS GOKULA MD, MBA
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ZAYD AYAS
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ROOZBEH MANSOUR MD
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-8773
JESSICA A JOHNS MD
Emergency Medicine
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. MARILEE JA CLUNK M.D.
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. TIMOTHY JAMES GILBERT MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

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 Mohamedalmortda Khairalseed's NPI number?

The NPI number for Mohamedalmortda Khairalseed is 1104661776. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Mohamedalmortda Khairalseed located?

Mohamedalmortda Khairalseed practices at 4160 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Mohamedalmortda Khairalseed's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohamedalmortda Khairalseed enrolled in Medicare?

Yes. Mohamedalmortda Khairalseed is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamedalmortda Khairalseed was last updated on June 26, 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.