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ELMORTADA MEDICAL SERVICES PC
NPI 1184482457
Internal Medicine - Infectious Disease in Jackson, MI

Active since March 11, 2024
205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elmortada Medical Services Pc NPPES

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

ELMORTADA MEDICAL SERVICES PC (NPI 1184482457) is a healthcare organization registered as an infectious disease in Jackson, Michigan and active in the NPI registry since March 2024. The organization lists Mohamad El Mortada, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184482457
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameELMORTADA MEDICAL SERVICES PC
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-4800
Phone(517) 205-4800
Organization SubpartNo
Authorized OfficialMohamad El MortadaAuthorized Official · (773) 988-3643
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1184482457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
205 N EAST AVE, Jackson, MI 49201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elmortada Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elmortada Medical Services PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohamad El Mortada, MD
Infectious Disease
NPI 1215139175
1700 CLINTON ST
Muskegon, MI 49442
(231) 728-1887
✔ PECOS✔ Accepts Medicare114 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elmortada Medical Services PC's NPI number?

The NPI number for Elmortada Medical Services PC is 1184482457. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Elmortada Medical Services PC located?

Elmortada Medical Services PC is located at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4800.

What is Elmortada Medical Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Elmortada Medical Services PC enrolled in Medicare?

Yes. Elmortada Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elmortada Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Elmortada Medical Services PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elmortada Medical Services PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elmortada Medical Services PC 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 Elmortada Medical Services PC was last updated on March 11, 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.