DR. MOHAMED ISSA M.D.
NPI 1225655285
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
22201 MOROSS RD, SUITE 50, DETROIT, MI 48236(313) 343-7774(313) 343-8747 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, May 16, 2023, Feb 1, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Mohamed Issa M.d. NPPES

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

DR. MOHAMED ISSA M.D. (NPI 1225655285) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and maintains a secondary practice location in Grosse Pointe Woods.

NPPES Registry Identity

NPI1225655285
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MOHAMED ISSACredential: M.D.
Location Address22201 MOROSS RD, SUITE 50Detroit, MI 48236
Mailing Address22201 Moross Rd, Suite 50Detroit, MI 48236 · (313) 343-7774 · Fax (313) 343-8747
Fax(313) 343-8747
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2020
Last NPPES UpdateFebruary 1, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1225655285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
22201 MOROSS RD, SUITE 50, Detroit, MI 48236

Secondary Practice Location 1

Location 119229 Mack Ave Ste 34Grosse Pointe Woods, MI 48236-2857 · Phone (313) 647-3245 · Fax (313) 647-3244

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohamed Issa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163848276
PECOS Enrollment IDI20260707003402
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.

Medicare Billing Reassignment

Medicare enrollment records show Mohamed Issa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Internal Medicine
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236

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 Mohamed Issa's NPI number?

The NPI number for Mohamed Issa is 1225655285. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Mohamed Issa located?

Mohamed Issa practices at 22201 Moross Rd, Suite 50, Detroit, MI 48236. The listed phone number is (313) 343-7774.

What is Mohamed Issa's specialty?

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

Is Mohamed Issa enrolled in Medicare?

Yes. Mohamed Issa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mohamed Issa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Issa reassigns Medicare benefits to Piedmont Providers LLC (Jasper, GA). The 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 Mohamed Issa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Issa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mohamed Issa 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.

Is Mohamed Issa affiliated with any hospitals?

According to CMS data, Mohamed Issa is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Issa was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.