Individual provider Active NPI

Mohammad Rizwan, M.D.

  • Internal Medicine Physician
  • Indianola, MS
National Provider Identifier
1124045679
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14546 Issued in MS
Practice address
121 E Baker St
Indianola, MS 38751-2450
Phone
(662) 887-5235
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 14546 MS Primary
Emergency Medicine Physician 207P00000X 14546 MS

Addresses

Primary practice location

121 E Baker St
Indianola, MS 38751-2450

Mailing address

108 Ashton Park Blvd
Madison, MS 39110-8475
Phone (601) 898-3060

Other practice location 1

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

Other practice location 2

1100 Highway 16 E
Carthage, MS 39051-4222
Phone (601) 267-1195

Other practice location 3

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 4

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other identifiers 1

IdentifierTypeStateIssuer
302I930851MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000480 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 8820995855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Services of Meridian PAGroup PAC ID 3274818042, 41 clinicians
Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14546NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Healthcare LLC CurrentSince Dec 30, 2012 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Oct 12, 2018 Accepting new patients
Vicksburg Healthcare LLC Emergency Medicine CurrentSince Dec 30, 2012 Accepting new patients
Newton Hospital, Inc Past Accepting new patients
Community Health Clinic Past Accepting new patients
Julia Street Clinic, Inc. Past Accepting new patients
Anderson Regional Medical Center Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Patients Choice Medical Center of Humphreys County, LLC Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1124045679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ASHTON PARK BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108475",
            "telephone_number": "601-898-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512450",
            "telephone_number": "662-887-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Burke Calhoun City Rd",
            "address_purpose": "LOCATION",
            "city": "Calhoun City",
            "state": "MS",
            "postal_code": "389169690",
            "country_code": "US",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1195",
            "fax_number": "601-267-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZWAN",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14546",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "14546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302I930851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

Verify at the official NPI Registry.