MOHAMMED MEHDI WALJI MD
NPI 1962198523
Student in an Organized Health Care Education/Training Program in Warren, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 17, 2023PECOS Enrolled

12000 E 12 MILE RD, WARREN, MI 48093(586) 573-5000 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2026, Mar 25, 2026, Jun 1, 2023 (3 updates tracked since 2023).

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About Mohammed Mehdi Walji Md NPPES

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

MOHAMMED MEHDI WALJI MD (NPI 1962198523) is an individual student in an organized health care education/training program in Warren, Michigan, licensed in Michigan (4351051520) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1962198523

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMOHAMMED MEHDI WALJICredential: MD

Location Address12000 E 12 MILE RDWarren, MI 48093-3570

Mailing Address12000 E 12 Mile RdWarren, MI 48093-3570 · (847) 736-1912

Phone(586) 573-5000

Sole ProprietorYes

Enumeration DateApril 17, 2023

Last NPPES UpdateApril 7, 20263 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1962198523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351051520

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12000 E 12 MILE RD, Warren, MI 48093

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Secondary Practice Location 1

Location 115855 19 Mile RdClinton Township, MI 48038-3504 · Phone (586) 263-2300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammed Mehdi Walji Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.