Individual provider Active NPI

Mohammed Alshammary, MD

  • Internal Medicine Physician
  • El Cajon, CA
National Provider Identifier
1194217539
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A176049 Issued in CA
Practice address
250 E Chase Ave Ste 109
El Cajon, CA 92020-6305
Phone
(619) 499-5006
Fax
(844) 499-5006
NPI assigned
Jun 1, 2018
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301502511 MI
Internal Medicine Physician 207R00000X A176049 CA Primary

Addresses

Primary practice location

250 E Chase Ave Ste 109
El Cajon, CA 92020-6305

Mailing address

250 E Chase Ave Ste 109
El Cajon, CA 92020-6305
Phone (619) 499-5006

Other practice location 1

855 E Madison Ave
El Cajon, CA 92020-3819
Phone (619) 440-2751

Other practice location 2

1111 W Chase Ave
El Cajon, CA 92020-5710
Phone (619) 515-2499

Other practice location 3

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-3964

Other names 1

  • Dr. Mohammed Khalid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220810002091 CA Practitioner - Internal Medicine 4587919816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Ave Clinic IncGroup PAC ID 0042685950, 2 clinicians

Practice addresses (Care Compare)

1111 W Chase Ave
El Cajon, CA 92020-5710
Phone (619) 515-2499

2484 Hilton Head PL
Apt 2135
El Cajon, CA 92019-4464
Phone (619) 767-8013

250 E Chase Ave
Suite 109
El Cajon, CA 92020-6305
Phone (619) 499-5006

532 Broadway
Apt 209
El Cajon, CA 92021-5432

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301502511MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ave Clinic Inc Internal Medicine CurrentSince Mar 12, 2023 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Quantum Care 24 Internal Medicine CurrentSince Jun 15, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 24, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 24, 2023 Accepting new patients
MFJ Group Inc CurrentSince May 19, 2024 Accepting new patients
Scripps Health Past Accepting new patients

Locations

1111 W Chase Ave
El Cajon, CA 92020
Phone (619) 515-2499

250 E Chase Ave
Ste 109
El Cajon, CA 92020
Phone (435) 619-2393

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCADD/Endpoint/AGCADD

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.

Hospital & facility affiliations 3

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1194217539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E CHASE AVE STE 109",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206305",
            "telephone_number": "619-499-5006",
            "fax_number": "844-499-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E CHASE AVE STE 109",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206305",
            "telephone_number": "619-499-5006",
            "fax_number": "844-499-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 E Madison Ave",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920203819",
            "country_code": "US",
            "telephone_number": "619-440-2751",
            "fax_number": "360-462-2746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W Chase Ave",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920205710",
            "country_code": "US",
            "telephone_number": "619-515-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-3964",
            "fax_number": "517-205-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSHAMMARY",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A176049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMED",
            "last_name": "KHALID",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.