DR. GEORGE DOMINIC MAMMO MD, MS - NPI 1659808053 - Family Medicine in Detroit, MI

Q: What is George Mammo's NPI number?

The NPI number for George Mammo is 1659808053. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Q: What is George Mammo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for George Mammo was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. George Dominic Mammo Md, Ms NPPES

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

DR. GEORGE DOMINIC MAMMO MD, MS (NPI 1659808053) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301501687) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659808053

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GEORGE DOMINIC MAMMOCredential: MD, MS

Location Address4420 E DAVISON STDetroit, MI 48212-1744

Mailing AddressPo Box 3790Southfield, MI 48037-3790 · (483) 364-0002

Phone(313) 369-1500

Sole ProprietorNo

Enumeration DateMay 16, 2017

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1659808053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301501687

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4420 E DAVISON ST, Detroit, MI 48212

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Secondary Practice Locations 2

Location 1911 E 9 Mile RdFerndale, MI 48220-1934 · Phone (248) 336-4000

Location 21044 N Francisco AveChicago, IL 60622-2743 · Phone (773) 360-6346

Other Identifiers 1

Other4301501687MI · Mi State Lic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George Dominic Mammo Md, Ms 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 48212 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.