Individual provider Active NPI

Mohammad Tufail Ijaz, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Zanesville, OH
National Provider Identifier
1124189592
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.093167 Issued in OH
Practice address
2315 Maple Ave
Zanesville, OH 43701-2028
Phone
(740) 586-6690
Fax
(740) 453-3406
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35.093167 OH Primary
Internal Medicine Physician 207R00000X 35.093167 OH

Addresses

Primary practice location

2315 Maple Ave
Zanesville, OH 43701-2028

Mailing address

2315 Maple Ave
Zanesville, OH 43701-2028
Phone (740) 586-6690

Other identifiers 1

IdentifierTypeStateIssuer
2939262MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090731000093 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 0749274454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

860 Bethesda Dr
Suite 2
Zanesville, OH 43701-1800
Phone (740) 586-6690

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.093167OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC Internal Medicine CurrentSince Aug 31, 2009 Accepting new patients
Genesis Medical Group, LLC CurrentSince Aug 31, 2009 Accepting new patients
Valley Gastroenterology Clinic, P.a. Past Accepting new patients

Locations

61353 Southgate Rd
Ste 5
Cambridge, OH 43725
Phone (740) 421-9240

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

950 Bethesda Dr
Ste 200
Zanesville, OH 43701

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

2315 Maple Ave
Zanesville, OH 43701
Phone (740) 453-1611

860 Bethesda Dr
Ste 2
Zanesville, OH 43701
Phone (740) 452-1905

Organizations & group practices 3

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 4

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1124189592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012028",
            "telephone_number": "740-586-6690",
            "fax_number": "740-453-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012028",
            "telephone_number": "740-586-6690",
            "fax_number": "740-453-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAZ",
        "first_name": "MOHAMMAD",
        "middle_name": "TUFAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.093167",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.093167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.