NPIMap

Individual provider Active NPI

Abdul Q Mohiuddin, MD

  • Family Medicine Physician
  • Hopewell, VA
National Provider Identifier
1003885575
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101222992 Issued in VA
Practice address
1012 Winston Churchill Dr
Hopewell, VA 23860-5141
Phone
(804) 458-8583
Fax
(804) 541-2724
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101222992 VA Primary

Addresses

Primary practice location

1012 Winston Churchill Dr
Hopewell, VA 23860-5141

Mailing address

1012 Winston Churchill Dr
Hopewell, VA 23860-5141
Phone (804) 458-8583

Other identifiers 2

IdentifierTypeStateIssuer
005643074MedicaidVA
C02208OtherMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000222 VA Practitioner - Family Practice 5597959346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin River Medical Clinic PCGroup PAC ID 7517923790, 8 clinicians
Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians

Practice addresses (Care Compare)

1012 Winston Churchill Dr
Hopewell, VA 23860-5141
Phone (804) 458-8583

15225 Heathcote Blvd
Haymarket, VA 20169-6264
Phone (240) 686-2300

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (240) 686-2300

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8000

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Nayar Health Care LLC Home health agency, Ashland, VA, CCN 497743
  • Athc - Hospice, LLC Hospice, Colonial Heights, VA, CCN 491631
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Battlefield Park Healthcare Center Nursing home, Petersburg, VA, CCN 495252
  • Petersburg Healthcare Center Nursing home, Petersburg, VA, CCN 495144
  • Colonial Heights Rehabilitation and Nursing Center Nursing home, Colonial Heights, VA, CCN 495115

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 1, 2024 Accepting new patients
Twin River Medical Clinic PC CurrentSince Nov 10, 1999 Accepting new patients

Locations

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1012 Winston Churchill Dr
Hopewell, VA 23860
Phone (804) 458-8583

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: twinriversmedicalclinicpc.abdulmohiuddin@119949.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Battlefield Park Healthcare CenterPetersburg, VA, CCN 495252 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2017
May 1, 2017
Petersburg Healthcare CenterPetersburg, VA, CCN 495144 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2017
May 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1003885575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WINSTON CHURCHILL DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605141",
            "telephone_number": "804-458-8583",
            "fax_number": "804-541-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WINSTON CHURCHILL DR",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238605141",
            "telephone_number": "804-458-8583",
            "fax_number": "804-541-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "ABDUL",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101222992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005643074",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02208",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.