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MAMDOUH ABDULRAZZAK MD PC
NPI 1831403401
Psychiatry & Neurology - Neurology in Dearborn, MI

Active since August 05, 2010
3200 GREENFIELD RD, SUITE 250, DEARBORN, MI 48120(313) 563-3332(313) 563-3342 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mamdouh Abdulrazzak Md Pc NPPES

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

MAMDOUH ABDULRAZZAK MD PC (NPI 1831403401) is a healthcare organization registered as a neurology in Dearborn, Michigan and active in the NPI registry since August 2010. The organization lists Mamdouh Abdulrazzak, President, as its authorized official.

NPPES Registry Identity

NPI1831403401
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMAMDOUH ABDULRAZZAK MD PC
Location Address3200 GREENFIELD RD, SUITE 250Dearborn, MI 48120-1802
Mailing AddressPo Box 250341Franklin, MI 48025-0341 · (313) 563-3332 · Fax (313) 563-3342
Phone(313) 563-3332
Fax(313) 563-3342
Organization SubpartNo
Authorized OfficialMamdouh AbdulrazzakPresident · (313) 563-3332
Enumeration DateAugust 5, 2010
Last NPPES UpdateNovember 22, 2010
✔ NPI 1831403401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 4301063026
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3200 GREENFIELD RD, Dearborn, MI 48120
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Other Identifiers 2

Medicare PINMI3231MI
OtherMI3232MI · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamdouh Abdulrazzak Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mamdouh Abdulrazzak MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mamdouh Abdulrazzak, M.D.
Neurology
NPI 1689649923
4700 GREENFIELD RD
Dearborn, MI 48126
(313) 945-6100
✔ PECOS✔ Accepts Medicare1.1 mi

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

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 Mamdouh Abdulrazzak MD PC's NPI number?

The NPI number for Mamdouh Abdulrazzak MD PC is 1831403401. It was assigned to this organization in the NPPES registry on August 5, 2010.

Where is Mamdouh Abdulrazzak MD PC located?

Mamdouh Abdulrazzak MD PC is located at 3200 Greenfield Rd Suite 250, Dearborn, MI 48120. The listed phone number is (313) 563-3332.

What is Mamdouh Abdulrazzak MD PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mamdouh Abdulrazzak MD PC enrolled in Medicare?

Yes. Mamdouh Abdulrazzak MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mamdouh Abdulrazzak MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Mamdouh Abdulrazzak MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mamdouh Abdulrazzak MD PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mamdouh Abdulrazzak MD PC 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.

When was this NPI record last updated?

The NPPES record for Mamdouh Abdulrazzak MD PC was last updated on November 22, 2010. 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.