Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Moussa

Individual provider Obstetrics & Gynecology Physician · NPI 1801479696

Daniel Moussa is an Obstetrics/Gynecology in Southgate, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

15675 Northline Rd
Southgate, MI 48195-2334
Phone: (734) 282-3600
Fax: (734) 282-3603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 — (313) 745-3000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301513702 (MI)

Record details

NPI number1801479696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southgate