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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOHAMAD A DAKLALLAH MD
NPI 1578187449
Allergy & Immunology in Detroit, MI

Active since June 05, 2020PECOS Enrolled
2799 W GRAND BLVD # 1, DETROIT, MI 48202(313) 916-1888 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Nov 9, 2021, Sep 10, 2021 and 1 more (4 updates tracked since 2020).

About Mohamad A Daklallah Md NPPES

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

MOHAMAD A DAKLALLAH MD (NPI 1578187449) is an individual allergy & immunology provider in Detroit, Michigan, licensed in Michigan (4301517894) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578187449
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameMOHAMAD A DAKLALLAHCredential: MD
Location Address2799 W GRAND BLVD # 1Detroit, MI 48202-2689
Mailing Address2799 W Grand Blvd # 1Detroit, MI 48202-2689 · (313) 717-1615
Phone(313) 916-1888
Sole ProprietorNo
Enumeration DateJune 5, 2020
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1578187449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in MI · 4301517894
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
2799 W GRAND BLVD # 1, 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)

Mohamad A Daklallah 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.

Other Providers at the Same Location NPPES 2

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

HARI S IYER MD
Internal Medicine
2799 W GRAND BLVD # 1
DETROIT, MI 48202
Wayne County (313) 916-1888
DR. JESSA KRISTEN EDELMAN M.D.
Internal Medicine
2799 W GRAND BLVD # 1
DETROIT, MI 48202
Wayne County (313) 916-8144

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 Mohamad Daklallah's NPI number?

The NPI number for Mohamad Daklallah is 1578187449. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Mohamad Daklallah located?

Mohamad Daklallah practices at 2799 W Grand Blvd # 1, Detroit, MI 48202. The listed phone number is (313) 916-1888.

What is Mohamad Daklallah's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mohamad Daklallah enrolled in Medicare?

Yes. Mohamad Daklallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamad Daklallah was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.