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

Mohammad Khalil

Individual provider Gerontology Nurse Practitioner · NPI 1265028542

Mohammad Khalil is a Nurse Practitioner in Wyandotte, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 42195 Briarcliff Ct, Canton, MI 48187-3714 — (734) 447-6370
  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 — (313) 618-9128

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704283791 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704283791 (MI)

Record details

NPI number1265028542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2020
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
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 specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wyandotte