Individual provider Active NPI

Mohammad Hajiha, MD, FRCSC UROLOGY

  • Urology Physician
  • Johns Creek, GA
National Provider Identifier
1215458237
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
91467 Issued in GA
Practice address
6300 Hospital Pkwy Ste 145
Johns Creek, GA 30097-1828
Phone
(404) 778-4898
Fax
(909) 558-4806
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 91467 GA Primary

Addresses

Primary practice location

6300 Hospital Pkwy Ste 145
Johns Creek, GA 30097-1828

Mailing address

6300 Hospital Pkwy Ste 145
Johns Creek, GA 30097-1828
Phone (404) 778-4898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170811002875 CA Practitioner - Urology 0042581886 Reassigns benefits to 2 organizations
I20220509000393 GA Practitioner - Urology 0042581886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Toronto, Faculty of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91467GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2017 Accepting new patients
The Emory Clinic Inc CurrentSince Jun 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Beaver Medical Group P C Urology CurrentSince Aug 6, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2017 Accepting new patients
Beaver Medical Group P C CurrentSince Aug 6, 2019 Accepting new patients
Emory Health Care Past Accepting new patients

Locations

6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11234 Anderson St
Rm A560
Loma Linda, CA 92350
Phone (877) 558-6248

11370 Anderson St
Ste 1100
Loma Linda, CA 92354
Phone (909) 558-2830

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

Interoperability endpoints

  • Direct secure messaging: mhajiha304746@direct.emory.org
  • Direct secure messaging: mhajiha135738@direct.llu.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1215458237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY STE 145",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971828",
            "telephone_number": "404-778-4898",
            "fax_number": "909-558-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY STE 145",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971828",
            "telephone_number": "404-778-4898",
            "fax_number": "909-558-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJIHA",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC UROLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "91467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.