Active NPI
Mohamad Adam, M.D.
- Internal Medicine Physician
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 120693
- Practice address
- 5200 Harroun Rd
Sylvania, OH 43560-2168 - Phone
- (312) 504-3267
- NPI assigned
- Aug 2, 2010
- Last updated
- Mar 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 120693 | OH | Primary |
| Hospitalist Physician | 208M00000X | 036133490 | IL |
Addresses
Primary practice location
5200 Harroun Rd
Sylvania, OH 43560-2168
Mailing address
1870 Burton LN
Park Ridge, IL 60068-1570
Phone (312) 504-3267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 479-5690
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120693 | OH | MD | Internal Medicine Physician |
| 036133490 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Clinic Incorporated | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Ohio Inc | Internal Medicine | Current | Accepting new patients |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| The Toledo Hospital | Past | Accepting new patients |
Locations
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
Organizations & group practices 4
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
- Ashtabula, OH
- NPI 1477500999
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SouthernCare Youngstown
- Community Based Hospice Care Agency
- Youngstown, OH
- NPI 1104864198
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1114231297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 BURTON LN",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681570",
"telephone_number": "312-504-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602168",
"telephone_number": "312-504-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAM",
"first_name": "MOHAMAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-02",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "120693",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036133490",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
- Eli C Abramson, M.D.
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- Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
- Keyana Renee Acheampong, LISW
- Jaafar Achkar, DDS
- Sarah Adelsperger, MS, LGC
- Kenneth Adler, M.D.
- Af Watch
- Affordable Dentures - Toledo, Jaafar Achkar, DDS, Inc. (Affordable Dentures & Implants - Toledo, Jaafar Achkar, DDS, INC.)
- Affordable Dentures - Toledo, Khalid Ragab, DMD, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.