1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

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

Active since June 25, 2020PECOS Enrolled
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: August 09, 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 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
Phone(313) 343-7774
Fax(313) 343-8747
Sole ProprietorNo
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

★ 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.
22201 MOROSS RD, SUITE 50, Detroit, MI 48236
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed Issa M.d. 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 3

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

MS. LENA KHACHIK M.D.
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
SEYED SAEED MAHDAVI M.D.
Internal Medicine
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DR. BOLA NASHED M.D.
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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 enrollment system.

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.