Mohammad Kousha, MD - Medicare Internal Medicine in Saint Clair Shores, MI

Mohammad Kousha, MD is a medicare enrolled "Internal Medicine" physician in Saint Clair Shores, Michigan. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pulmonary And Critical Care Associates Pc and his current practice location is 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 772-5550.

Mohammad Kousha is licensed to practice in Pennsylvania (license number MD454845) 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 1326335381.

Contact Information

Mohammad Kousha, MD
21000 E 12 Mile Rd Ste 112,
Saint Clair Shores, MI 48081-1156
(586) 772-5550
(586) 772-2470

Map and Direction




Physician's Profile

Full NameMohammad Kousha
GenderMale
SpecialityInternal Medicine
Experience17 Years
Location21000 E 12 Mile Rd Ste 112, Saint Clair Shores, 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:
  • Mohammad Kousha graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1326335381
  • Provider Enumeration Date: 06/28/2011
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810215209
  • Enrollment ID: I20180612000451

Medical Identifiers

Medical identifiers for Mohammad Kousha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326335381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD454845 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital
Ascension St John HospitalDetroit, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pulmonary And Critical Care Associates Pc054725060722

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. Mohammad Kousha allows following entities to bill medicare on his behalf.
Entity NamePulmonary & Critical Care Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598700932
PECOS PAC ID: 0547250607
Enrollment ID: O20040512001399
Entity NameSt Mary Mercy Hospital Professional
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528145554
PECOS PAC ID: 2365521226
Enrollment ID: O20080502000426
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
Entity NameRoyal Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952833196
PECOS PAC ID: 3779851738
Enrollment ID: O20170615000258

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. Mohammad Kousha 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
Mohammad Kousha, MD
50505 Schoenherr Rd Ste 290,
Shelby Twp, MI 48315-3141

Ph: (586) 314-0080
Mohammad Kousha, MD
21000 E 12 Mile Rd Ste 112,
Saint Clair Shores, MI 48081-1156

Ph: (586) 772-5550

Reviews and Comments


Internal Medicine Doctors in Saint Clair Shores, MI

Jahnavi Chakrala, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080
Phone: 586-267-0200    Fax: 313-343-4412
Kimberley Demerle, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081
Phone: 586-772-5550    Fax: 586-772-2470
Maridel Aileen Hernandez, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080
Phone: 586-445-7900    Fax: 586-445-7940
Daniel Shelden, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080
Phone: 586-447-8021    Fax: 586-447-8022
Dr. Demetrios Mermiges, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080
Phone: 586-772-6850    Fax: 586-772-3810
Zaid Kasmikha, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080
Phone: 586-498-0440    Fax: 586-498-0429
Dr. Marybeth Hardwicke, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080
Phone: 586-778-4080    Fax: 586-778-6055

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.