Individual provider Active NPI

Abid Khan Mohammed, MD

  • Internal Medicine Physician
  • Kinston, NC
National Provider Identifier
1245338904
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014-01901 Issued in NC
Practice address
100 Airport Rd FL 4
Kinston, NC 28501-1604
Phone
(252) 522-7197
Fax
(252) 522-7288
NPI assigned
Sep 20, 2006
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 ME96667 FL
Internal Medicine Physician 207R00000X 2014-01901 NC Primary

Addresses

Primary practice location

100 Airport Rd FL 4
Kinston, NC 28501-1604

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other practice location 1

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7428

Other identifiers 2

IdentifierTypeStateIssuer
276538100MedicaidFL
1245338904MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amohammed216086@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124001756 NC Practitioner - HospitalistPractitioner - Internal Medicine 3870695679 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group North CarolinaGroup PAC ID 7719162254, 78 clinicians

Practice addresses (Care Compare)

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 438-4143

615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01901NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina CurrentSince Oct 1, 2014 Accepting new patients
Swain Integrated Services, PC CurrentSince May 7, 2018 Accepting new patients
Jackson HM Services, PC CurrentSince Jan 15, 2017 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Feb 20, 2023 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Premiere Care Providers LLC Internal Medicine PastSince Sep 10, 2021 Accepting new patients
Hospital Care Associates PA Internal Medicine Past Accepting new patients
Smart Life Consult LLC Internal Medicine Past Accepting new patients

Locations

45 Plateau St
Bryson City, NC 28713
Phone (828) 488-2155

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148

100 Airport Rd
Fl 4
Kinston, NC 28501
Phone (252) 522-7197

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

Interoperability endpoints

  • Direct secure messaging: amohammed216086@direct.unc.nchie.net

Organizations & group practices 8

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1245338904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD FL 4",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "252-522-7197",
            "fax_number": "252-522-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287792722",
            "country_code": "US",
            "telephone_number": "828-586-7428",
            "fax_number": "828-586-7427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "ABID",
        "middle_name": "KHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96667",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-01901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276538100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245338904",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amohammed216086@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD/CDA/TXT",
            "address_1": "100 Airport Rd Fl 4",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.