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

Mustafa Al-Shammari, MD

Individual provider Internal Medicine Physician · NPI 1205275161

Mustafa Al-Shammari, MD is an Internal Medicine in Detroit, Michigan. Qualified in 2008, 18 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland, Michigan and Nevada.

Years since qualifying
18
Licensed in
MD, MI, NV
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Show map & directions

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

Additional practice locations (1)

  • 1707 W Charleston Blvd Ste 230, Las Vegas, NV 89102-2353 — (702) 676-3650

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301504577 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 17199 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence P29238 (MD)

Record details

NPI number1205275161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2013
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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