Physician Compare National (NPI:1821031576)

HEALTHCARE PROVIDER: MOHAMMAD NADEEMULLAH M. D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821031576
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365420551
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040908000061
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NADEEMULLAH
	Individual professional last name
Provider First Name	MOHAMMAD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPICE/PALLIATIVE CARE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPICE/PALLIATIVE CARE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ASCENSION MEDICAL GROUP MICHIGAN
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0648180406
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	133
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1225 S LATSON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	200 BRIGHTON INTERNAL MEDICINE
	Group Practice or individual's line 2 address
City	HOWELL
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	488437660
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8104946800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SINAI-GRACE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230069
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230165
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST JOHN HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230156
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST JOSEPH MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y