Active NPI
Mohammed Mobin Ahmed, M.D.
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME135869
- Practice address
- 4500 San Pablo Rd S
Jacksonville, FL 32224 - Phone
- (904) 953-2000
- NPI assigned
- Mar 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME135869 | FL | Primary |
Addresses
Primary practice location
4500 San Pablo Rd S
Jacksonville, FL 32224
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200708003438 | FL | Practitioner - Diagnostic Radiology | 6507113099 | Reassigns benefits to 2 organizations |
| I20210608000854 | WI | Practitioner - Diagnostic Radiology | 6507113099 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohri LLCOrlando Health Medical Group Inc
Practice addresses (Care Compare)
398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355
52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111
Hospital & facility affiliations
- Orlando Health
- Orlando Health South Lake Hospital
- Orlando Health-Health Central Hospital
- Orlando Health Bayfront Hospital
- Orlando Health Melbourne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135869 | FL | MD | Diagnostic Radiology Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohri, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Precision Radiology - Illinois LTD | Current | Accepting new patients |
Locations
398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955
52 Underwood St
#153
Orlando, FL 32806
Phone (321) 841-2558
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
10945 N Port Washington Rd
Ste 201
Thiensville, WI 53092
Phone (262) 478-0301
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Networks
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
Diagnostic Radiology, WI
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
Diagnostic Radiology
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1083570261
-
- Radiology Clinic/Center
- Ocoee, FL
- NPI 1407246085
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1013335876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32224",
"telephone_number": "904-953-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MOHAMMED",
"middle_name": "MOBIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-30",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME135869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.