Active NPI
Mohammed Ali Mohammed Al-Amoodi
- Interventional Cardiology Physician
- Montgomery, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.136825
- Practice address
- 10506 Montgomery Rd Ste 300a
Montgomery, OH 45242-4400 - Phone
- (513) 246-2400
- Fax
- (513) 246-4050
- NPI assigned
- Oct 21, 2008
- Last updated
- Nov 7, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008028015 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 48547 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | 35.136825 | OH | Primary |
Addresses
Primary practice location
10506 Montgomery Rd Ste 300a
Montgomery, OH 45242-4400
Mailing address
6875 W 51St Ter
Apt. 2B
Mission, KS 66202-1558
Phone (913) 271-7328
Other practice location 1
6875 W 51st Ter
Apt. 2b
Mission, KS 66202-1558
Phone (913) 271-7328
Other practice location 2
1707 W Saint Marys Rd Ste 101
Tucson, AZ 85745-2612
Phone (520) 622-5912
Other practice location 3
1951 W 25th St Ste F
Yuma, AZ 85364-6924
Phone (928) 336-1675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OH, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008028015 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Saint Marys Urgent Care LLC | Current | Accepting new patients | |
| Trihealth G LLC | Internal Medicine | Current | Accepting new patients |
| Young Hearts of Yuma, Inc | Current | Accepting new patients | |
| Saint Mary's Medical Group Inc | Current | Accepting new patients | |
| Saint Marys Medical Group Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Yuma Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Trihealth H LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1951 W 25th St
Ste F
Yuma, AZ 85364
Phone (928) 314-4800
2051 W 25th St
Ste A
Yuma, AZ 85364
Phone (928) 317-1119
2051 W 25th St
Ste Ab
Yuma, AZ 85364
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2500 S 8th Ave
Ste 200
Yuma, AZ 85364
Phone (928) 336-7095
1801 W Olympic Blvd
#1461
Pasadena, CA 91199
18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201
411 W 6th St
Reno, NV 89503
Phone (775) 770-3209
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
10506 Montgomery Rd
Ste 300A
Montgomery, OH 45242
Interoperability endpoints
- https://api.platform.athenahealth.com/2204/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- malamoodi345844@direct.trihealth.com
- malamoodi405624@direct.stlukeshealth.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
dba Saint Mary's Medical Group
- Primary Care Clinic/Center
- Reno, NV
- NPI 1538424239
Cardiovascular Disease
-
- Medical Specialty Clinic/Center
- Yuma, AZ
- NPI 1396978268
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
dba Saint Mary's Outpatient Pharmacy
- Community/Retail Pharmacy
- Reno, NV
- NPI 1447635578
-
dba Saint Mary's Urgent Care
- Multi-Specialty Clinic/Center
- Reno, NV
- NPI 1275898975
-
dba Onvida Health Yuma Medical Center
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1083866149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6875 W 51ST TER",
"address_2": "APT. 2B",
"city": "MISSION",
"state": "KS",
"postal_code": "662021558",
"telephone_number": "913-271-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY RD STE 300A",
"city": "MONTGOMERY",
"state": "OH",
"postal_code": "452424400",
"telephone_number": "513-246-2400",
"fax_number": "513-246-4050"
}
],
"practiceLocations": [
{
"address_1": "6875 W 51st Ter",
"address_2": "Apt. 2b",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "KS",
"postal_code": "662021558",
"country_code": "US",
"telephone_number": "913-271-7328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1707 W Saint Marys Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857452612",
"country_code": "US",
"telephone_number": "520-622-5912",
"fax_number": "520-396-1375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1951 W 25th St Ste F",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853646924",
"country_code": "US",
"telephone_number": "928-336-1675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-AMOODI",
"first_name": "MOHAMMED",
"middle_name": "ALI MOHAMMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-21",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2008028015",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "48547",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.136825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.