Active NPI
Mohammad A. Jan, MD
- Cardiovascular Disease Physician
- Dennison, OH
National Provider Identifier
1225042484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35-035556
- Practice address
- 819 N 1St St.
Dennison, OH 44621-1003 - Phone
- (740) 922-7480
- Fax
- (740) 922-7466
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35-035556 | OH | Primary |
Addresses
Primary practice location
819 N 1St St.
Dennison, OH 44621-1003
Mailing address
3070 Presidential Dr
Suite 200
Fairborn, OH 45324-6293
Phone (937) 429-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251632 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-035556 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Institute of Cardiac Care, Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1396938791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1225042484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 PRESIDENTIAL DR",
"address_2": "SUITE 200",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246293",
"telephone_number": "937-429-2160",
"fax_number": "937-426-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N 1ST ST.",
"city": "DENNISON",
"state": "OH",
"postal_code": "446211003",
"telephone_number": "740-922-7480",
"fax_number": "740-922-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAN",
"first_name": "MOHAMMAD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35-035556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0251632",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dennison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.