DR. HEBA MAHMOUD DO
NPI 1659763365
Hospitalist in Detroit, MI
About Dr. Heba Mahmoud Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEBA MAHMOUD DO (NPI 1659763365) is an individual hospitalist provider in Detroit, Michigan, licensed in Michigan (5101021778) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Heba Mahmoud Do 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIPhysician 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.
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.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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 Heba Mahmoud's NPI number?
The NPI number for Heba Mahmoud is 1659763365. It was assigned to this individual provider in the NPPES registry on March 4, 2015.
Where is Heba Mahmoud located?
Heba Mahmoud practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 478-6161.
What is Heba Mahmoud's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Heba Mahmoud enrolled in Medicare?
Yes. Heba Mahmoud 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.
What insurance does Heba Mahmoud accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Heba Mahmoud 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 Heba Mahmoud affiliated with any hospitals?
According to CMS data, Heba Mahmoud is affiliated with Edward W Sparrow Hospital.
When was this NPI record last updated?
The NPPES record for Heba Mahmoud was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
