Mhd Hussam Al Jandali, MD - Medicare Critical Care (intensivists) in Detroit, MI

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Mhd Hussam Al Jandali, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Detroit, Michigan. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Edward W Sparrow Hospital Association and his current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (800) 653-6568.

Mhd Hussam Al Jandali is licensed to practice in Michigan (license number 4301105255) 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 1063831758.

Contact Information

Mhd Hussam Al Jandali, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608
(800) 653-6568
(313) 876-1305

Map and Direction




Physician's Profile

Full NameMhd Hussam Al Jandali
GenderMale
SpecialityCritical Care (intensivists)
Experience14 Years
Location2799 W Grand Blvd, Detroit, 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:
  • Mhd Hussam Al Jandali graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1063831758
  • Provider Enumeration Date: 04/10/2014
  • Last Update Date: 11/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335442524
  • Enrollment ID: I20160912001798

Medical Identifiers

Medical identifiers for Mhd Hussam Al Jandali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063831758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301105255 (Michigan)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 12590664-1205 (Utah)Secondary
207RN0300XInternal Medicine - Nephrology 4301105255 (Michigan)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 4301105255 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Edward W Sparrow HospitalLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edward W Sparrow Hospital Association6709799166633

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. Mhd Hussam Al Jandali allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790
Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366498107
PECOS PAC ID: 6709799166
Enrollment ID: O20040311001138
Entity NameNephrology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487608014
PECOS PAC ID: 2668436544
Enrollment ID: O20041119000340
Entity NameHospitalist Medicine Physicians Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013180181
PECOS PAC ID: 4486703170
Enrollment ID: O20090529000290
Entity NameHenry Ford Wyandotte Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700145851
PECOS PAC ID: 2264334499
Enrollment ID: O20120920000394
Entity NameWashington Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891045563
PECOS PAC ID: 4981857489
Enrollment ID: O20130112000065
Entity NameElizabeth Lake Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538585260
PECOS PAC ID: 3375769078
Enrollment ID: O20140731002302

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. Mhd Hussam Al Jandali 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
Mhd Hussam Al Jandali, MD
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450

Ph: (800) 653-6568		Mhd Hussam Al Jandali, MD
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (800) 653-6568

Reviews and Comments


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Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    Fax: 313-876-1305

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.