MOHAMED ALI GARADA DO
NPI 1265289045
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 01, 2024PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2024, May 1, 2024 (2 updates tracked since 2024).

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About Mohamed Ali Garada Do NPPES

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

MOHAMED ALI GARADA DO (NPI 1265289045) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (5151017015) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265289045

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMOHAMED ALI GARADACredential: DO

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateMay 1, 2024

Last NPPES UpdateMay 13, 20242 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1265289045 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

License✔ Licensed in MI · 5151017015

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.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamed Ali Garada Do 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.