Mohammad Jamil PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31759 Issued in AZ

Legal business name

MOHAMMAD JAMIL PC

Doing business as

Icare Internal Medicine

Practice address

8765 W Kelton LN Ste 110
Peoria, AZ 85382-5008

Phone

(623) 670-7772

Fax

(623) 444-2361

NPI assigned

Sep 16, 2010

Last updated

Jan 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad I Jamil, MDNPI 1255419206

Title

Owner / Physician

Phone

(623) 670-7772

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ICARE INTERNAL MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad I Jamil, MD

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1255419206
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1235447848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825008",
            "telephone_number": "623-670-7772",
            "fax_number": "623-444-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN STE 110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825008",
            "telephone_number": "623-670-7772",
            "fax_number": "623-444-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD JAMIL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "623-670-7772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICARE INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ICARE INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.