Mounir Djemil, MD
NPI 1053763862 · Pediatrics Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mounir Djemil, MD is a Pediatrics Physician provider in Grand Rapids, MI (NPI 1053763862).
Provider details
- NPI number
- 1053763862
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301110650 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1700 W Stout StRice Lake, WI 54868-5000Phone: (715) 236-4450
Registry dates
- Enumerated
- 2016-07-05
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Frequently asked questions
- What is Mounir Djemil's NPI number?
- Mounir Djemil's National Provider Identifier (NPI) is 1053763862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mounir Djemil's specialty?
- Mounir Djemil is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mounir Djemil located?
- Mounir Djemil's practice location on file with NPPES is 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556.
- What is Mounir Djemil's phone number?
- The practice phone number listed in the NPPES registry for Mounir Djemil is (616) 391-8810.
- Does Mounir Djemil accept Medicare?
- Mounir Djemil is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mounir Djemil's NPI active?
- Yes — Mounir Djemil's NPI (1053763862) is active in the NPPES registry as of the last update on 2024-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.