MOUSA HAMMOUD (MD) – Internal Medicine Physician, NPI 1063153351

MOUSA HAMMOUD (MD) is a healthcare provider. based in Dearborn, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.154791 (OH). The NPI Number for MOUSA HAMMOUD (MD) is 1063153351

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MOUSA HAMMOUD (MD)
NPI
1063153351
Phone
Not provided
Address
8908 SHADDICK ST
Enumeration Date
2 April 2022
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489530526
Graduation Year
2021 (5 years ago)
PAC ID
4688192230
Group Practice PAC ID
2668873191
Professional Enrollment ID
I20250516002387
Address ID
MI483043681BL5045XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for MOUSA HAMMOUD (MD)

  • 8908 SHADDICK ST

    DEARBORN, MI 481262398

    Phone:

    Type: Mailing

  • 1101 W UNIVERSITY DR

    ROCHESTER, MI 483071863

    Phone: (313) 478-2647

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250516002387IInternal MedicineMITBD
I20260102000235IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668873191View full group profile
NameSpecialtyState
Internal MedicineMI
Hospitalist, Internal MedicineMI
Internal MedicineMI
Internal Medicine, HospitalistMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I verify MOUSA HAMMOUD (MD) with an NPI only?
You can start verification with NPI 1063153351 for MOUSA HAMMOUD (MD), then check state licensing separately.
Can I rely on MOUSA HAMMOUD (MD) being an active provider?
As of the registry snapshot, MOUSA HAMMOUD (MD) is marked active.
What is MOUSA HAMMOUD (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for MOUSA HAMMOUD (MD) here. Clinical services aligned with this taxonomy classification.
Where is MOUSA HAMMOUD (MD) based?
MOUSA HAMMOUD (MD) is tied to Dearborn, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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