NPIMap

Individual provider Active NPI

Mohamad F Hadidi, M.D.

  • Neurology Physician
  • Clarksdale, MS
National Provider Identifier
1164460101
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17427 Issued in MS
Practice address
785 Ohio Ave
Suite 2C
Clarksdale, MS 38614-6217
Phone
(662) 627-2544
Fax
(662) 627-2052
NPI assigned
Jun 3, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17427 MS Primary

Addresses

Primary practice location

785 Ohio Ave
Suite 2C
Clarksdale, MS 38614-6217

Mailing address

785 Ohio Ave
Suite 2C
Clarksdale, MS 38614-6217
Phone (662) 627-2544

Other identifiers 2

IdentifierTypeStateIssuer
154530001MedicaidAR
00124811MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000496 MS Practitioner - Neurology 2365342110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Medical GroupGroup PAC ID 6608775531, 48 clinicians

Practice addresses (Care Compare)

1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783

1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783

785 Ohio Ave
Suite 2C
Clarksdale, MS 38614-6216
Phone (662) 627-2544

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Feb 28, 2022 Accepting new patients
Delta Neurology Clinic, PLLC CurrentSince Jan 2, 2009 Accepting new patients
North Sunflower Medical Center CurrentSince Feb 28, 2022 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
Clarksdale Hma Physican Management, LLC PastSince Jan 2, 2009 Accepting new patients
Delta Health System Past Accepting new patients
Delta Physician Practices Past Accepting new patients
Clarksdale Hma Physician Management LLC Past Accepting new patients

Locations

785 Ohio Ave
Ste 2C
Clarksdale, MS 38614
Phone (662) 627-2544

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

Interoperability endpoints

  • Direct secure messaging: nwmfhadid@yourcarecommunity.org

Organizations & group practices 9

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1164460101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 2C",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146217",
            "telephone_number": "662-627-2544",
            "fax_number": "662-627-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 2C",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146217",
            "telephone_number": "662-627-2544",
            "fax_number": "662-627-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADIDI",
        "first_name": "MOHAMAD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154530001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124811",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.