Individual provider Active NPI

Aqiyla Muhammad, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1174685689
Registry record updated Sep 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD433327 Issued in PA
Practice address
5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone
(215) 472-6096
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT185801 PA
Family Medicine Physician 207Q00000X MD433327 PA Primary

Addresses

Primary practice location

5201 Haverford Ave
Philadelphia, PA 19139-1401

Mailing address

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (215) 472-6096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20141007000209 PA Practitioner - Family Practice 5799905147 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433327PAMDFamily Medicine Physician
MT185801PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jun 17, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jun 17, 2024 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Jan 14, 2024 Accepting new patients

Locations

2140 Peachtree Rd NW
Ste 232
Atlanta, GA 30309
Phone (888) 708-0561

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1080 N Delaware Ave
Philadelphia, PA 19125
Phone (215) 287-2114

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1174685689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-472-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HAVERFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391401",
            "telephone_number": "215-472-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "AQIYLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT185801",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD433327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.