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IDRIS MOHIUDDIN
NPI 1972350387
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since May 02, 2024PECOS Enrolled
11900 E 12 MILE RD STE 102, WARREN, MI 48093(313) 423-1105 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idris Mohiuddin NPPES

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

IDRIS MOHIUDDIN (NPI 1972350387) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972350387
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIDRIS MOHIUDDIN
Location Address11900 E 12 MILE RD STE 102Warren, MI 48093-3487
Mailing Address11900 E 12 Mile Rd Ste 102Warren, MI 48093-3487
Phone(313) 423-1105
Sole ProprietorYes
Enumeration DateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1972350387 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
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.
11900 E 12 MILE RD STE 102, Warren, MI 48093
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idris Mohiuddin 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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YONG KOH
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
CHRISTOPHER WOMAC
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
NATALYA VORONOVICH
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
AHMAD FIRAS ALLAHHAM
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (313) 423-1105
BLAICHIA THAO
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 582-6630
DR. WISSAM DIMACHK DPM
Podiatrist (Foot & Ankle Surgery)
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
HENNA ATA DPM
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470
TAHA MAHMOOD DPM
Student in an Organized Health Care Education/Training Program
11900 E 12 MILE RD STE 102
WARREN, MI 48093
Macomb County (586) 573-7470

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 Idris Mohiuddin's NPI number?

The NPI number for Idris Mohiuddin is 1972350387. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Idris Mohiuddin located?

Idris Mohiuddin practices at 11900 E 12 Mile Rd Ste 102, Warren, MI 48093. The listed phone number is (313) 423-1105.

What is Idris Mohiuddin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Idris Mohiuddin enrolled in Medicare?

Yes. Idris Mohiuddin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Idris Mohiuddin was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.