Mohammed Athar, M.D. – Internal Medicine Physician

Key facts

NPI: 1093166332
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: 60330 (KY)
Practice address: 720 Kenova Trce
Lexington, KY 40511-8856
Phone: (847) 863-5412
Fax: (949) 864-3136
NPI assigned: Jun 28, 2016
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Rapid Recovery Wound Care PLLC Multi-Specialty Clinic/Center · Lexington, KY · NPI 1548075716

Medicare reassignment NPD KY

Medicare Care Compare profile

Specialty: Internal Medicine
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Kenova Trce
Lexington, KY 40511-8856
Phone (847) 863-5412

Procedures performed for Medicare patients

Procedure	Number of procedures
Removal of tissue	135

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY
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
I20250314001619	KY	Practitioner - Internal Medicine	4082097282	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
60330	KY	MD	Internal Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Rapid Recovery Wound Care PLLC		Current since Feb 1, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Anatomic Pathology Physician	207ZP0101X	60330	KY
Internal Medicine Physician	207R00000X	60330	KY	Yes
Student in an Organized Health Care Education/Training Program	390200000X

Addresses

Primary practice location

720 Kenova Trce
Lexington, KY 40511-8856

Mailing address

720 Kenova Trce
Lexington, KY 40511-8856
Phone (847) 863-5412

Other providers in Lexington, KY

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Sarah Atchison-Stricker, M.A., B.C.B.A., LBA
Tateh Atemkeng
Dominique Atencio, BA
Sharon Aters, CRNA
Athena Women'S Services, LLC
Adam Asher Atherton, LPCC
Athletico LTD
Athletico LTD
Athletico, LTD

All providers in Lexington, KY · Internal Medicine Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.