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MOHAMMAD MAHMOUD BALLOUT MD
NPI 1235802182
Family Medicine in Pontiac, MI

Active since July 27, 2021PECOS Enrolled
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5332(313) 998-2171 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Jul 1, 2025, Jun 4, 2024 and 1 more (4 updates tracked since 2021).

About Mohammad Mahmoud Ballout Md NPPES

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

MOHAMMAD MAHMOUD BALLOUT MD (NPI 1235802182) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (4301514355) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235802182
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHAMMAD MAHMOUD BALLOUTCredential: MD
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address50 N Perry StPontiac, MI 48342-2217 · Fax (313) 998-2171
Phone(248) 338-5332
Fax(313) 998-2171
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 27, 2021
Last NPPES UpdateMay 7, 20264 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1235802182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301514355
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301514355 (MI)
50 N PERRY ST, Pontiac, MI 48342
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Mahmoud Ballout Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416492103
PECOS Enrollment IDI20251002003763
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THAMILARASI SUBRAMANIAN
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. CORY ERIC MANOOGIAN DO
Psychiatry & Neurology (Psychiatry)
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 384-8130
DR. ESSA HANNA HATTAR MD
Family Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5392
IMPACT ACO BILLING COMPANY LLC
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5516
ANDREW CHARLES ABIRAGI
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5300
MARTIN ANTONIO RIVERA
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
SHALIN R LASHKARI MSPT
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. MICHAEL CHRISTOPHER DETTLOFF D.O.
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000

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 Mohammad Ballout's NPI number?

The NPI number for Mohammad Ballout is 1235802182. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Mohammad Ballout located?

Mohammad Ballout practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5332.

What is Mohammad Ballout's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohammad Ballout enrolled in Medicare?

Yes. Mohammad Ballout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Ballout was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.