Individual provider Active NPI

Mohammad Bashar Mourad, M.D.

  • Nephrology Physician
  • Newburgh, IN
National Provider Identifier
1093712952
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
32887 Issued in KY
Practice address
9355 Warrick TRL
Newburgh, IN 47630-0015
Phone
(270) 689-1919
Fax
(270) 689-1990
NPI assigned
Jul 6, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32887 KY
Nephrology Physician 207RN0300X 32887 KY Primary

Addresses

Primary practice location

9355 Warrick TRL
Newburgh, IN 47630-0015

Mailing address

PO Box 5705
Evansville, IN 47716-5705
Phone (812) 492-1960

Other identifiers 6

IdentifierTypeStateIssuer
64328875MedicaidKY
CJ7612OtherKYRAILROAD MEDIARE
000000210578OtherINANTHEM PIN
200367690MedicaidIN
CJ7612OtherINRAILROAD MEDICARE
000000210578OtherKYANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060208000356 KY Practitioner - Nephrology 7719992056 Reassigns benefits to 1 organization
I20070521000377 IN Practitioner - Nephrology 7719992056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3112 Fairview Dr
Owensboro, KY 42303-2175
Phone (812) 492-1960

9355 Warrick TRL
Newburgh, IN 47630-0015
Phone (270) 689-1919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.69 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
88.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Care LLC Nephrology CurrentSince Oct 20, 2020 Accepting new patients

Locations

9355 Warrick Trl
Newburgh, IN 47630
Phone (801) 678-9663

1602 Main St
Tell City, IN 47586
Phone (812) 547-1140

1930 E Parrish Ave
Owensboro, KY 42303
Phone (270) 689-1919

3112 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2129

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1093712952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5705",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165705",
            "telephone_number": "812-492-1960",
            "fax_number": "270-689-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 WARRICK TRL",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476300015",
            "telephone_number": "270-689-1919",
            "fax_number": "270-689-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURAD",
        "first_name": "MOHAMMAD",
        "middle_name": "BASHAR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-09-29",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32887",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "32887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64328875",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDIARE",
            "identifier": "CJ7612",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000210578",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200367690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ7612",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000210578",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.