Mohammed Medhat Abdelwahed, MBBCH
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Rochester, MN
NPI 1023645504 · NPPES record last updated Jun 16, 2025
Key facts
- NPI
- 1023645504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 73994 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Mar 25, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1919 S Highland Ave
Building a Suite 210
Lombard, IL 60148-4901
1919 S Highland Ave
Building a Suite 210
Lombard, IL 60148-6153
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710000247 | MN | Practitioner - Pathology | 4981149366 | Reassigns benefits to 1 organization |
| I20260608002044 | IL | Practitioner - Pathology | 4981149366 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current |
Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- mabdelwahed2221576@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 73994 | MN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 73994 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
2200 Northern Blvd Ste 104
Greenvale, NY 11548-1220
Phone (516) 304-7234
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mabdelwahed2221576@ehrdirect.mayoclinicmsg.org |
Other providers in Rochester, MN
- Tasneem Abdel-Karim
- Matthew P Abdel
- Bishoy Abdelmalik
- Omar Adel Ahmed Abdelsadek
- Rewan Mohamed Abdelwahab
- Abdinoor Mohamed Abdi
- Abdirhman Said Abdi
- Amina Ahmed Abdi
- Deqa Awil Abdi
- Falis Ahmed Abdi
All providers in Rochester, MN · Anatomic Pathology & Clinical Pathology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.