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DR. MAHMOUD OTHMAN MD
NPI 1508811456
Internal Medicine - Interventional Cardiology in Detroit, MI

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
4160 JOHN R ST, SUITE 724, DETROIT, MI 48201(313) 832-8888(313) 831-1137 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mahmoud Othman Md NPPES

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

DR. MAHMOUD OTHMAN MD (NPI 1508811456) is an individual interventional cardiology provider in Detroit, Michigan, licensed in Michigan (4301081581) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1508811456
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. MAHMOUD OTHMANCredential: MD
Location Address4160 JOHN R ST, SUITE 724Detroit, MI 48201-2020
Mailing Address4160 John R St, Suite 724Detroit, MI 48201-2020 · (313) 832-8888 · Fax (313) 831-1137
Phone(313) 832-8888
Fax(313) 831-1137
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 6, 2013
✔ NPI 1508811456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in MI · 4301081581
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301081581 (MI)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301081581 (MI)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 4301081581 (MI)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 4301081581 (MI)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 4301081581 (MI)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 4301081581 (MI)
4160 JOHN R ST, Detroit, MI 48201
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Other Identifiers 2

Medicare ID-Type UnspecifiedOM71670MI
Other06144810Ecfmg

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mahmoud Othman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799796868
PECOS Enrollment IDI20250318003158
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 Reassignments

4

Medicare enrollment records show Mahmoud Othman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Do Gardi MD PC
Same address
Interventional Cardiology
4160 JOHN R ST, SUITE 724
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1417176025 (313) 832-8888
Access And Vascular Care
9.6 mi
Nephrology
10861 W 10 MILE RD
Oak Park, MI 48237
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group
NPI 1831520212 (248) 268-1135
Fisher-Titus Medical Care LLC
86 mi
Family Medicine
272 BENEDICT AVENUE
Norwalk, OH 44857
  • Reassigned Medicare billing, Ohio enrollment
  • 137 clinicians in this Medicare group
NPI 1467636399 (419) 668-8101
Mary Rutan Hospital
148 mi
Rural Health
118 DOWELL AVE
Bellefontaine, OH 43311
  • Reassigned Medicare billing, Ohio enrollment
  • 131 clinicians in this Medicare group
NPI 1316785306 (937) 593-5437

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
26 services25 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier36 claims36 services$2,039.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASHRAF ELSDEEK MOHAMED M.D.
Psychiatry & Neurology (Neurology)
4160 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 833-8467
CHARLES EDWARD LUCAS MD
Surgery
4160 JOHN R ST, SUITE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. JOYA A GANGULY MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4160 JOHN R ST, SUITE 510
DETROIT, MI 48201
Wayne County (313) 993-7777
YOUNG HO SOHN MD PLLC
Specialist
4160 JOHN R ST, SUITE 515
DETROIT, MI 48201
Wayne County (313) 832-1440
KARIN CALVITI
Audiologist
4160 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 966-9471
MICHELLE BASTIEN CNP RN BSN MSN OCN
Nurse Practitioner
4160 JOHN R ST, SUITE 917
DETROIT, MI 48201
Wayne County (313) 745-4525
ANNA MARIE LEDGERWOOD MD
Surgery
4160 JOHN R ST, STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. PRAVIT CADNAPAPHORNCHAI MD
Internal Medicine (Nephrology)
4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201
Wayne County (313) 745-4525

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 Mahmoud Othman's NPI number?

The NPI number for Mahmoud Othman is 1508811456. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Mahmoud Othman located?

Mahmoud Othman practices at 4160 John R St Suite 724, Detroit, MI 48201. The listed phone number is (313) 832-8888.

What is Mahmoud Othman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mahmoud Othman enrolled in Medicare?

Yes. Mahmoud Othman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mahmoud Othman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahmoud Othman reassigns Medicare benefits to 4 organizations: Do Gardi MD PC (Detroit, MI), Access And Vascular Care (Oak Park, MI), Fisher-Titus Medical Care LLC (Norwalk, OH) and Mary Rutan Hospital (Bellefontaine, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mahmoud Othman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahmoud Othman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Mahmoud Othman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mahmoud Othman affiliated with any hospitals?

According to CMS data, Mahmoud Othman is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Uh Cleveland Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Mahmoud Othman was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.