DR. MOHAMMED JAMALUDDIN – Podiatrist, NPI 1477658623

DR. MOHAMMED JAMALUDDIN is a healthcare provider. based in Portage, Michigan. specializing in PODIATRY. They hold a License No. 5901001615 (MI). The NPI Number for DR. MOHAMMED JAMALUDDIN is 1477658623

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMED JAMALUDDIN
NPI
1477658623
Phone
Not provided
Address
PO BOX 1177
Enumeration Date
13 September 2006
Last Update Date
18 September 2012

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
4587550173
Group Practice PAC ID
1052229226
Professional Enrollment ID
I20071025000457
Address ID
MI490372963BA181XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for DR. MOHAMMED JAMALUDDIN

  • United States Post Office, West Conant Street, Portage, Columbia County, Wisconsin, 53901, United States

    PORTAGE, MI 490811177

    Phone:

    Type: Mailing

  • 6304, Saddle Ridge Court, Texas Charter Township, Kalamazoo County, Michigan, 49009, United States

    KALAMAZOO, MI 490094000

    Phone: (269) 998-6783

    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: 2004-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040223000099IPodiatryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails344210$0
99341Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes4949$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes1818$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49081)

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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: 1052229226View full group profile
NameSpecialtyState
Family Practice, Sports MedicineOH
Internal MedicineMI
Family PracticeMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
O P T O M E T R YMI
Certified Nurse Midwife (Cnm)MI
-MI
P S Y C H I A T R YTN

Reviews

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Frequently asked questions

What is the standard ID for DR. MOHAMMED JAMALUDDIN in the U.S.?
In the U.S., DR. MOHAMMED JAMALUDDIN is identified by NPI 1477658623.
Is DR. MOHAMMED JAMALUDDIN currently accepting referrals based on NPI status?
Registry metadata lists DR. MOHAMMED JAMALUDDIN as active.
What type of care does DR. MOHAMMED JAMALUDDIN provide?
DR. MOHAMMED JAMALUDDIN's profile centers on Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MOHAMMED JAMALUDDIN?
DR. MOHAMMED JAMALUDDIN shows a connection to Portage, Michigan in registry-derived data.
Who maintains DR. MOHAMMED JAMALUDDIN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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