Hisham Ahmad Kaddurah, - Medicare Diagnostic Radiology in Grand Blanc, MI

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Hisham Ahmad Kaddurah, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Blanc, Michigan. He went to Wayne State University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Smi Imaging Llc and his current practice location is 1 Genesys Pkwy, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 606-5000.

Hisham Ahmad Kaddurah is licensed to practice in Michigan (license number 4301507319) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376004325.

Contact Information

Hisham Ahmad Kaddurah,
1 Genesys Pkwy,
Grand Blanc, MI 48439-8065
(810) 606-5000
Not Available

Map and Direction




Physician's Profile

Full NameHisham Ahmad Kaddurah
GenderMale
SpecialityDiagnostic Radiology
Experience7 Years
Location1 Genesys Pkwy, Grand Blanc, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hisham Ahmad Kaddurah attended and graduated from Wayne State University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1376004325
  • Provider Enumeration Date: 03/30/2019
  • Last Update Date: 01/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335573864
  • Enrollment ID: I20240808003051

Medical Identifiers

Medical identifiers for Hisham Ahmad Kaddurah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376004325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301507319 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smi Imaging Llc3476696220255

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hisham Ahmad Kaddurah allows following entities to bill medicare on his behalf.
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hisham Ahmad Kaddurah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hisham Ahmad Kaddurah,
26300 Telegraph Rd Ste 200,
Southfield, MI 48033-5367

Ph: () -		Hisham Ahmad Kaddurah,
1 Genesys Pkwy,
Grand Blanc, MI 48439-8065

Ph: (810) 606-5000

Reviews and Comments


Radiology Doctors in Grand Blanc, MI

George Arnold, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439
Phone: 810-606-5000    
Dr. Khalid Mustafa Eteer, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439
Phone: 810-606-5359    Fax: 810-606-6966

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.