MOHAMED ALI ZAROUG MOHAMED MD
NPI 1861742751
Internal Medicine - Rheumatology in Grand Rapids, MI

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525(616) 267-7293 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2022, Oct 10, 2022, Sep 26, 2022 and 5 more (8 updates tracked since 2020).

About Mohamed Ali Zaroug Mohamed Md NPPES

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

MOHAMED ALI ZAROUG MOHAMED MD (NPI 1861742751) is an individual rheumatology provider in Grand Rapids, Michigan, licensed in Michigan (4301107404) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861742751
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMOHAMED ALI ZAROUG MOHAMEDCredential: MD
Location Address3271 CLEAR VISTA CT NEGrand Rapids, MI 49525-9477
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 18, 2012
Last NPPES UpdateNovember 10, 20228 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1861742751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MI · 4301107404
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301107404 (MI)
3271 CLEAR VISTA CT NE, Grand Rapids, MI 49525

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

Mohamed Ali Zaroug Mohamed Md 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 ID6406078161
PECOS Enrollment IDI20170725002891
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 Reassignments

2

Medicare enrollment records show Mohamed Mohamed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
3271 CLEAR VISTA CT NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Podiatrist
1000 ASHLAND DR STE 104
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 531 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 3

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.
129 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 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.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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.

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.

Internal Medicine
3271 CLEAR VISTA CT NE, SUMMIT PARK CENTER-INTERNAL MED & PEDS
GRAND RAPIDS, MI 49525
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Allergy & Immunology
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525
Internal Medicine (Rheumatology)
3271 CLEAR VISTA CT NE
GRAND RAPIDS, MI 49525

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 Mohamed Mohamed's NPI number?

The NPI number for Mohamed Mohamed is 1861742751. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Mohamed Mohamed located?

Mohamed Mohamed practices at 3271 Clear Vista Ct NE, Grand Rapids, MI 49525. The listed phone number is (616) 267-7293.

What is Mohamed Mohamed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mohamed Mohamed enrolled in Medicare?

Yes. Mohamed Mohamed 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 Mohamed Mohamed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Mohamed reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and King's Daughters Medical Specialties, Inc. (Ashland, KY). 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 Mohamed Mohamed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Mohamed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mohamed Mohamed 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 Mohamed Mohamed affiliated with any hospitals?

According to CMS data, Mohamed Mohamed is affiliated with Spectrum Health United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital, Corewell Health Ludington Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Mohamed was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.