HASHEM MOHILLDEAN
NPI 1245082759
General Practice in Jackson, MI

Q: What is Hashem Mohilldean's NPI number?

The NPI number for Hashem Mohilldean is 1245082759. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Q: What is Hashem Mohilldean's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Hashem Mohilldean was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 05, 2024PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Apr 24, 2024, Apr 5, 2024 (3 updates tracked since 2024).

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About Hashem Mohilldean NPPES

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

HASHEM MOHILLDEAN (NPI 1245082759) is an individual general practice provider in Jackson, Michigan, licensed in Michigan (1245082759) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245082759

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameHASHEM MOHILLDEAN

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(517) 205-4800

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 5, 2024

Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1245082759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 1245082759

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hashem Mohilldean is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42752198

PECOS Enrollment IDI20251209002851

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 Hashem Mohilldean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC

935 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Michigan enrollment
666 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant