Kimberly Mohabir, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD048657 Issued in DC

Practice address

1101 15TH St NW
Washington, DC 20005-5002

Phone

(202) 798-0100

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wholewomanshealthofbaltimorellc.kimberlymohabir@112555.advancedmd-direct.com
• Direct secure messaging: kmohabir19772@gwmfa.direct-ci.com

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.

• North Shore-Lij Medical Group P.C.

  dba North Shore University Hospital Independence at Home Demonstration

  • Internal Medicine Physician
  • Manhasset, NY
  • NPI 1942666557

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1215465497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SAINT PAUL ST APT 2C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055002",
            "telephone_number": "202-798-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHABIR",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD048657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Moghtaderi, M.D.
• Rachel S Mogil, MD
• Ghislaine Kenmegne Datouo Mogo
• Jolivette Mogoh
• Indira Mohabeer
• Ahmed Abdallah Mohamed Ebeid
• Asha Mohamed
• Ayman Sati Sati Mohamed
• Fatma Mohamed
• Melissa Mohamed, NP

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.