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MABRUR KAMAL AHMED DNP
NPI 1780411603
Nurse Practitioner - Family in Garden City, MI

Active since September 16, 2024PECOS Enrolled
6255 INKSTER RD STE 104, GARDEN CITY, MI 48135(248) 590-0202(248) 590-0278 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Jul 28, 2026, Oct 7, 2024 and 1 more (4 updates tracked since 2024).

About Mabrur Kamal Ahmed Dnp NPPES

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

MABRUR KAMAL AHMED DNP (NPI 1780411603) is an individual family provider in Garden City, Michigan, licensed in Michigan (4704313278) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Wayne State University School Of Medicine (2025).

NPPES Registry Identity

NPI1780411603
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMABRUR KAMAL AHMEDCredential: DNP
Location Address6255 INKSTER RD STE 104Garden City, MI 48135-2538
Mailing Address6255 Inkster Rd Ste 104Garden City, MI 48135-2538 · (248) 590-0202 · Fax (248) 590-0278
Phone(248) 590-0202
Fax(248) 590-0278
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2025
Enumeration DateSeptember 16, 2024
Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1780411603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704313278
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4704313278 (MI)
6255 INKSTER RD STE 104, Garden City, MI 48135
Open in Google Maps ↗

Secondary Practice Location 1

Location 136475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 655-4800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mabrur Kamal Ahmed Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345708046
PECOS Enrollment IDI20260813000230
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.

Medicare Billing Reassignment

Medicare enrollment records show Mabrur Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Digestive Care, PC
Same address
Gastroenterology
6255 INKSTER RD STE 104
Garden City, MI 48135
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1710526082 (248) 590-0202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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.

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.

BASHAR SUHAIL HMOUD MD
Internal Medicine (Gastroenterology)
6255 INKSTER RD STE 104
GARDEN CITY, MI 48135
Wayne County (248) 590-0202
ADVANCED DIGESTIVE CARE, PC
Internal Medicine (Gastroenterology)
6255 INKSTER RD STE 104
GARDEN CITY, MI 48135
Wayne County (248) 590-0202

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 Mabrur Ahmed's NPI number?

The NPI number for Mabrur Ahmed is 1780411603. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Mabrur Ahmed located?

Mabrur Ahmed practices at 6255 Inkster Rd Ste 104, Garden City, MI 48135. The listed phone number is (248) 590-0202.

What is Mabrur Ahmed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mabrur Ahmed enrolled in Medicare?

Yes. Mabrur Ahmed is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mabrur Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mabrur Ahmed reassigns Medicare benefits to Advanced Digestive Care, PC (Garden City, MI). The 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 Mabrur Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mabrur Ahmed was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.