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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
11Medicare enrollment records show Heba Mahmoud reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 83 clinicians in this Medicare group
Livonia, MI 48152
- Reassigned Medicare billing, Michigan enrollment
- 25 clinicians in this Medicare group
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Lakeside Urgent Care PC
- 81 clinicians in this Medicare group
Oxford, MI 48371
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Oxford Urgent Care Plc
- 81 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 104 clinicians in this Medicare group
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 115 clinicians in this Medicare group
Saint Johns, MI 48879
- Reassigned Medicare billing, Michigan enrollment
- 114 clinicians in this Medicare group
Fowler, MI 48835
- Reassigned Medicare billing, Michigan enrollment
- 215 clinicians in this Medicare group
Portland, MI 48875
- Reassigned Medicare billing, Michigan enrollment
- 317 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 228 clinicians in this Medicare group
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 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.
Which organizations bill Medicare for Heba Mahmoud's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heba Mahmoud reassigns Medicare benefits to 11 organizations: Michigan Emergency Services (Detroit, MI), Reliance Hospitalists PLLC (Livonia, MI), Lakeside Urgent Care, P.C. (Clinton Township, MI), Oxford Urgent Care P L C (Oxford, MI), Sparrow Specialty Hospital (Lansing, MI) and 6 more organizations, listed in the Medicare section above. 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 Heba Mahmoud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heba Mahmoud accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Dr. Heba Mahmoud, DO · NPI 1659763365
Hospitalist physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 4, 2015.
## Identity
- **NPI:** 1659763365 (Entity type: Individual)
- **Enumerated:** March 4, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 5101021778 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4201 SAINT ANTOINE ST, Detroit, MI 48201-2153
- **Phone:** (313) 478-6161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Michigan Emergency Services (NPI 1316968191, Detroit, MI); Reliance Hospitalists PLLC (NPI 1588105274, Livonia, MI); Lakeside Urgent Care, P.C. (NPI 1811226442, Clinton Township, MI); Oxford Urgent Care P L C (NPI 1700036936, Oxford, MI); Sparrow Specialty Hospital (NPI 1437655842, Lansing, MI); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659763365) · Data from the CMS NPPES public registry.