Active NPI
Abdiwahab Mohamed, M.D.
- Emergency Medicine Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R0761
- Practice address
- 11713 Shadow Creek Pkwy
Pearland, TX 77584-7198 - Phone
- (405) 312-9411
- NPI assigned
- May 14, 2014
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R0761 | TX | Primary |
Addresses
Primary practice location
11713 Shadow Creek Pkwy
Pearland, TX 77584-7198
Mailing address
8009 Azurewood Dr
Oklahoma City, OK 73135-6291
Phone (405) 312-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- 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
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (469) 843-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0761 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Carrollton PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hermann Hospital Based Physician Group | Emergency Medicine | Current | Accepting new patients |
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Ies ER Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Texas Physician Resources, LLP | Emergency Medicine | Current | Accepting new patients |
Locations
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
3500 Gaston Ave
Dallas, TX 75246
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850
2555 Gulf Fwy S
#C1100
League City, TX 77573
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Carrollton, TX
- NPI 1134769789
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1639413289
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
dba Baylor Scott & White Emergency Hospital Aubrey
- General Acute Care Hospital
- Aubrey, TX
- NPI 1407010622
-
dba Baylor Scott & White Emergency Hospital Rockwall
- General Acute Care Hospital
- Rockwall, TX
- NPI 1407344880
-
dba Baylor Scott & White Emergency Hospital Colleyville
- General Acute Care Hospital
- Colleyville, TX
- NPI 1043641749
-
dba Baylor Scott & White Emergency Hospital Murphy
- General Acute Care Hospital
- Murphy, TX
- NPI 1619308319
-
dba Baylor Scott & White Emergency Hospital Keller
- General Acute Care Hospital
- Keller, TX
- NPI 1689002651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164833927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8009 AZUREWOOD DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731356291",
"telephone_number": "405-312-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11713 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847198",
"telephone_number": "405-312-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "ABDIWAHAB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R0761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.