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DR. MAHMOOD FATTOOH MOOSA M.D.
NPI 1669478681
Internal Medicine - Endocrinology, Diabetes & Metabolism in Monroe, MI

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
48.48/100
CMS Quality Rating
15506 S TELEGRAPH RD, MONROE, MI 48161(734) 682-5243(888) 677-1987 Get Directions Write a Review

NPPES record last updated: January 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mahmood Fattooh Moosa M.d. NPPES

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

DR. MAHMOOD FATTOOH MOOSA M.D. (NPI 1669478681) is an individual endocrinology, diabetes & metabolism provider in Monroe, Michigan, licensed in Ohio (35067199) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1669478681
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MAHMOOD FATTOOH MOOSACredential: M.D.
Location Address15506 S TELEGRAPH RDMonroe, MI 48161-5520
Mailing Address15506 S Telegraph RdMonroe, MI 48161-5520 · (734) 682-5243 · Fax (888) 677-1987
Phone(734) 682-5243
Fax(888) 677-1987
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 23, 2005
Last NPPES UpdateJanuary 9, 2011
✔ NPI 1669478681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 35067199
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
15506 S TELEGRAPH RD, Monroe, MI 48161
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Other Identifiers 3

Medicare UPING17631OH
Medicare ID-Type Unspecified0899941OH
Medicaid2158454OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mahmood Fattooh Moosa M.d. 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 ID8224020581
PECOS Enrollment IDI20040331000016, I20040422000107
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.

Areas of Expertise CMS Part B claims 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,556 services699 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
649 services326 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
515 services235 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
215 services147 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
141 services141 patients
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.
55 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48161 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

48.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.33
Improvement Activities0
Cost72.07

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%4,815 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%4,798 patients2/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 808 patients
6%808 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
12 suppliers164 claims2,014 services$18.23 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers162 claims4,981 services$2.32 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers29 claims29 services$173.13 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
86 suppliers523 claims1,780 services$6.22 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
9 suppliers42 claims42 services$2.64 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
6 suppliers18 claims18 services$1.73 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 4

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

LANE BERNICE JUDGE FNP-C
Nurse Practitioner (Family)
15506 S TELEGRAPH RD
MONROE, MI 48161
Monroe County (734) 682-5243
LEAH SUMMER JAROSCAK FNP-C
Nurse Practitioner (Family)
15506 S TELEGRAPH RD
MONROE, MI 48161
Monroe County (734) 682-5243
JACQUELYN ELLEN MELDRUM RN, MSN, NP-C
Nurse Practitioner (Family)
15506 S TELEGRAPH RD
MONROE, MI 48161
Monroe County (520) 404-6696
ENDOCRINE SPECIALISTS, P.C.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15506 S TELEGRAPH RD
MONROE, MI 48161
Monroe County (734) 682-5243

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 Mahmood Moosa's NPI number?

The NPI number for Mahmood Moosa is 1669478681. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Mahmood Moosa located?

Mahmood Moosa practices at 15506 S Telegraph Rd, Monroe, MI 48161. The listed phone number is (734) 682-5243.

What is Mahmood Moosa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mahmood Moosa enrolled in Medicare?

Yes. Mahmood Moosa 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 Mahmood Moosa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 7 other insurers list Mahmood Moosa 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 Mahmood Moosa affiliated with any hospitals?

According to CMS data, Mahmood Moosa is affiliated with Promedica Monroe Regional Hospital, Wood County Hospital, Promedica Toledo Hospital, Mercy St Vincent Medical Center and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Mahmood Moosa was last updated on January 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.