MUSTAFA S BOHRA MD PLC
NPI 1922199850
Internal Medicine - Infectious Disease in Dearborn, MI

Active since September 27, 2006
15120 MICHIGAN AVE, DEARBORN, MI 48126(313) 582-2142(313) 582-8627 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mustafa S Bohra Md Plc NPPES

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

MUSTAFA S BOHRA MD PLC (NPI 1922199850) is a healthcare organization registered as an infectious disease in Dearborn, Michigan and active in the NPI registry since September 2006. The organization lists Mustafa S Bohra, Owner, as its authorized official.

NPPES Registry Identity

NPI1922199850
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameMUSTAFA S BOHRA MD PLC
Location Address15120 MICHIGAN AVEDearborn, MI 48126-2916
Mailing Address6950 Carlyle CrossingWest Bloomfield, MI 48322-3082 · (313) 582-2142 · Fax (313) 582-8627
Fax(313) 582-8627
Organization SubpartNo
Authorized OfficialMustafa S BohraOwner · (313) 582-2142
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJune 24, 2008
✔ NPI 1922199850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
15120 MICHIGAN AVE, Dearborn, MI 48126

Other Identifiers 1

Medicare PIN0N83860

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mustafa S Bohra Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040317001128Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mustafa S Bohra MD Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1588651897
15120 MICHIGAN AVE
Dearborn, MI 48126
(313) 582-2142
✔ PECOS✔ Accepts MedicareSame address

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 Mustafa S Bohra MD Plc's NPI number?

The NPI number for Mustafa S Bohra MD Plc is 1922199850. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Mustafa S Bohra MD Plc located?

Mustafa S Bohra MD Plc is located at 15120 Michigan Ave, Dearborn, MI 48126. The listed phone number is (313) 582-2142.

What is Mustafa S Bohra MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mustafa S Bohra MD Plc enrolled in Medicare?

Yes. Mustafa S Bohra MD Plc is registered in the Medicare PECOS enrollment system.

When is Mustafa S Bohra MD Plc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mustafa S Bohra MD Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Mustafa S Bohra MD Plc. 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 Mustafa S Bohra MD Plc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mustafa S Bohra MD Plc 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 Mustafa S Bohra MD Plc was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.