Individual provider Active NPI

Mohamed Ahmed, MD

  • Pain Medicine (Anesthesiology) Physician
  • Elkton, MD
National Provider Identifier
1053307496
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
C10007449 Issued in DE
Practice address
300 E Pulaski Hwy
Suit 106
Elkton, MD 21921-6435
Phone
(410) 398-0590
Fax
(443) 245-3737
NPI assigned
Sep 21, 2005
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C10007449 DE
Pain Medicine (Anesthesiology) Physician 207LP2900X C10007449 DE Primary
Pain Medicine Physician 208VP0000X C1-0010198 DE

Addresses

Primary practice location

300 E Pulaski Hwy
Suit 106
Elkton, MD 21921-6435

Mailing address

PO Box 1040
Elkton, MD 21922-1040
Phone (410) 398-0590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041202000936 DE Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Addiction Medicine 6800852757 Reassigns benefits to 3 organizations
I20101019000544 MD Practitioner - AnesthesiologyPractitioner - Pain Management 6800852757 Reassigns benefits to 2 organizations
I20190711002605 DC Practitioner - Pain Management 6800852757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

32711 Long Neck Rd
Millsboro, DE 19966-6678
Phone (302) 352-0517

655 S Bay Rd
Suite 3D
Dover, DE 19901-4659
Phone (855) 527-7246

677 E Pulaski Hwy
Suite 1B
Elkton, MD 21921-6057
Phone (302) 595-3670

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10007449DEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All About Pain and Spine Pain Medicine CurrentSince Apr 28, 2015 Accepting new patients
Clearway Anesthesia Services NE LLC Anesthesiology CurrentSince May 9, 2022 Accepting new patients
Advanced Pain Management Specialists, LLC Pain Medicine CurrentSince Feb 17, 2014 Accepting new patients
Advanced Pain Management Specialists, LLC Anesthesiology CurrentSince Feb 17, 2014 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Mar 7, 2011 Accepting new patients
Pinnacle Mid-Atlantic Pain Medicine, PC Anesthesiology Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

655 S Bay Rd
Ste 3D
Dover, DE 19901

655 S Bay Rd
Ste D
Dover, DE 19901

32711 Long Neck Rd
Millsboro, DE 19966
Phone (302) 945-9730

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 208
Baltimore, MD 21229

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

677 E Pulaski Hwy
Ste 1B
Elkton, MD 21921
Phone (302) 595-3670

11701 Livingston Rd
Ste 301
Ft Washington, MD 20744
Phone (202) 507-8444

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

7671 Quarterfield Rd
Ste 301
Glen Burnie, MD 21061
Phone (410) 457-3041

23000 Moakley St
Ste 206
Leonardtown, MD 20650
Phone (301) 475-5855

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

160 Sallitt Dr
Ste 100
Stevensville, MD 21666
Phone (410) 224-0143

2960 Technology Pl
Ste 103
Waldorf, MD 20601
Phone (301) 632-6092

826 Washington Rd
Ste 210
Westminster, MD 21157
Phone (410) 346-5163

Interoperability endpoints

  • Direct secure messaging: mahmed3542416@direct.trinity-health.org
  • Direct secure messaging: mohamed.ahmed.4@11679.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1053307496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219221040",
            "telephone_number": "410-398-0590",
            "fax_number": "443-245-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PULASKI HWY",
            "address_2": "SUIT 106",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216435",
            "telephone_number": "410-398-0590",
            "fax_number": "443-245-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C10007449",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DE",
            "license": "C10007449",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "DE",
            "license": "C1-0010198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.