NIDAL HAMMOUD (M.D.) – Family Medicine Physician, NPI 1508072687

NIDAL HAMMOUD (M.D.) is a healthcare provider. based in Southfield, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301084551 (MI). The NPI Number for NIDAL HAMMOUD (M.D.) is 1508072687

Main info

Male
Sole Proprietor
22 Years Of Experience
Name
NIDAL HAMMOUD (M.D.)
NPI
1508072687
Phone
(248) 849-3447
Address
22250 PROVIDENCE DR
Enumeration Date
15 May 2007
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482063797
Graduation Year
2004 (22 years ago)
PAC ID
6901960806
Group Practice PAC ID
1052670882
Professional Enrollment ID
I20090121000265
Address ID
MI480712531MA350XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for NIDAL HAMMOUD (M.D.)

  • Providence Drive, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 480754825

    Phone: (248) 849-3447

    Type: Location

  • 612 PLAINFIELD ST

    DEARBORN HEIGHTS, MI 481273624

    Phone: (313) 516-0763

    Type: Mailing

  • 5049, Heather Drive, Fairlane Meadow Apartments, Dearborn, Wayne County, Michigan, 48126, United States

    APT. # 107

    DEARBORN, MI 481264137

    Phone: (313) 516-0763

    Type: Mailing

  • 26000 HOOVER RD

    WARREN, MI 480891167

    Phone: (586) 722-0707

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: PFIZER INC. ($27).

Total Amount

$27

General + Research + Ownership

Payments

2

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$27
View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-21

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
I20090121000265IFamily PracticeMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,341931$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,124100$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus919761$0
99214Established patient office or other outpatient visit, 30-39 minutes840651$0
99203New patient office or other outpatient visit, 30-44 minutes722722$0
View full utilization report →

Insurance plans in this area (ZIP 48075)

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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: 1052670882View full group profile
NameSpecialtyState
Physician AssistantMI
General Practice, Internal MedicineMI
General PracticeMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
N E U R O L O G YMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify NIDAL HAMMOUD (M.D.) for billing?
Administrative and clinical systems typically use NPI 1508072687 for NIDAL HAMMOUD (M.D.).
Quick check: is NIDAL HAMMOUD (M.D.) active?
Public NPPES data shows NIDAL HAMMOUD (M.D.) with an active NPI status right now.
How should patients interpret NIDAL HAMMOUD (M.D.)'s specialty?
The extract shows Family Medicine Physician for NIDAL HAMMOUD (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to NIDAL HAMMOUD (M.D.)?
The directory associates NIDAL HAMMOUD (M.D.) with Southfield, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains NIDAL HAMMOUD (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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