Active NPI
Hommat Hommadov, M.D.
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA12052900
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5189 - Phone
- (845) 636-9188
- NPI assigned
- Jun 7, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA12052900 | NJ | Primary |
| Anesthesiology Physician | 207L00000X | MD470110 | PA |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5189
Mailing address
3401 N Broad St
Philadelphia, PA 19140-5189
Phone (845) 636-9188
Other practice location 1
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MD, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone (703) 986-2400
14139 Potomac Mills Rd
Woodbridge, VA 22192-4644
Phone (703) 257-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12052900 | NJ | MD | Anesthesiology Physician |
Practice roles
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
Ste 4EPFS
Rockville, MD 20852
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400
Organizations & group practices 14
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.
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
dba Tysons Corner Medical Center Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- McLean, VA
- NPI 1073678637
DC
-
dba Kaiser Permanente Caton Hill Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Woodbridge, VA
- NPI 1114677572
-
dba Kaiser Permanente Largo Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
DC
-
dba Kaiser Permanente Lutherville-Timonium Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Timonium, MD
- NPI 1457023616
-
dba Kaiser Permanente Gaithersburg Medical Center Ambulatory Surgery Ctr
- Ambulatory Surgical Clinic/Center
- Gaithersburg, MD
- NPI 1497023188
DC
-
dba Kensington Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Kensington, MD
- NPI 1578638425
DC
-
dba Kaiser Permanente Loudoun Medical Center
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
-
dba So. Baltimore County ASC
- Ambulatory Surgical Clinic/Center
- Halethorpe, MD
- NPI 1942546486
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1144679580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405189",
"telephone_number": "845-636-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405189",
"telephone_number": "845-636-9188"
}
],
"practiceLocations": [
{
"address_1": "1500 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Darby",
"state": "PA",
"postal_code": "190231200",
"country_code": "US",
"telephone_number": "610-237-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMMADOV",
"first_name": "HOMMAT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA12052900",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD470110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.