ABDALLAH MOUSA ALMAWAZREH MD
NPI 1265170450
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 26, 2022PECOS Enrolled
4201 ST. ANTOINE,, UNIVERSITY HEALTH CENTER, SUITE 6A, DETROIT, MI 48201(313) 745-4627 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2022, May 26, 2022 (2 updates tracked since 2022).

About Abdallah Mousa Almawazreh Md NPPES

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

ABDALLAH MOUSA ALMAWAZREH MD (NPI 1265170450) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265170450
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameABDALLAH MOUSA ALMAWAZREHCredential: MD
Location Address4201 ST. ANTOINE,, UNIVERSITY HEALTH CENTER, SUITE 6ADetroit, MI 48201
Mailing Address4201 St. Antoine,, Uhc-suite 6aDetroit, MI 48201 · (313) 745-4627
Sole ProprietorNo
Enumeration DateMay 26, 2022
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1265170450 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.

4201 ST. ANTOINE,, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abdallah Mousa Almawazreh Md 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265170450, enumerated as an "individual" on May 26, 2022.

The provider is located at 4201 ST. ANTOINE, UNIVERSITY HEALTH CENTER, SUITE 6A DETROIT, MI 48201 and the phone number is (313) 745-4627.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.