1. Home
  2. Directory
  3. Michigan
  4. Dearborn
  5. Internal Medicine
  6. NPI Profile

WIAAM MAHBOUB
NPI 1497240352
Internal Medicine in Dearborn, MI

Active since June 24, 2018PECOS Enrolled
2040 MONROE ST, DEARBORN, MI 48124(313) 278-5836 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Jun 24, 2018 (2 updates tracked since 2018).

About Wiaam Mahboub NPPES

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

WIAAM MAHBOUB (NPI 1497240352) is an individual internal medicine provider in Dearborn, Michigan, licensed in Michigan (4301505332) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497240352
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameWIAAM MAHBOUB
Location Address2040 MONROE STDearborn, MI 48124-2950
Mailing Address2040 Monroe StDearborn, MI 48124-2950 · (313) 278-5836
Phone(313) 278-5836
Sole ProprietorNo
Enumeration DateJune 24, 2018
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1497240352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301505332
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2040 MONROE ST, Dearborn, MI 48124
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)

Wiaam Mahboub 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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 13

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

MANSOOR IQBAL BHATTI P.A.C.
Physician Assistant (Medical)
2040 MONROE ST, SUITE #209
DEARBORN, MI 48124
Wayne County (313) 359-3800
DR. AARON SCOTT GOLDFEIN M.D.
General Practice
2040 MONROE ST, SUITE #209
DEARBORN, MI 48124
Wayne County (313) 359-3800
NEPHRON CLINIC PC
Internal Medicine (Nephrology)
2040 MONROE ST, STE 209
DEARBORN, MI 48124
Wayne County (313) 359-2100
NAZIRKO LLC
Pharmacy (Community/Retail Pharmacy)
2040 MONROE ST, SUITE 201
DEARBORN, MI 48124
Wayne County (313) 561-9700
THAMER MEDICAL PLLC
Internal Medicine
2040 MONROE ST, SUITE 206
DEARBORN, MI 48124
Wayne County (313) 561-8796
RAMON ADOLFO MADRID M.D.
General Practice
2040 MONROE ST, SUITE #209
DEARBORN, MI 48124
Wayne County (313) 359-3800
FATHELRAHMAN OMER ALI M.D.
Internal Medicine
2040 MONROE ST, SUITE # 207
DEARBORN, MI 48124
Wayne County (313) 278-5836
HARTLAND GERIATRIC PC
Internal Medicine
2040 MONROE ST, STE 207
DEARBORN, MI 48124
Wayne County (313) 278-5836

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 Wiaam Mahboub's NPI number?

The NPI number for Wiaam Mahboub is 1497240352. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Wiaam Mahboub located?

Wiaam Mahboub practices at 2040 Monroe St, Dearborn, MI 48124. The listed phone number is (313) 278-5836.

What is Wiaam Mahboub's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wiaam Mahboub enrolled in Medicare?

Yes. Wiaam Mahboub is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wiaam Mahboub was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.