Active NPI
Mohamed Ahmed Mohamed
- Dentist
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 064680
- Practice address
- 222 Alexander St Ste 4200
Rochester, NY 14607-4056 - Phone
- (585) 922-9295
- Fax
- (585) 625-6193
- NPI assigned
- Apr 1, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 064680 | NY | Primary |
Addresses
Primary practice location
222 Alexander St Ste 4200
Rochester, NY 14607-4056
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 974-5045
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmohamed395754@direct.rochesterregional.org | Direct |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Kings Hwy S
Rochester, NY 14617-5504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
222 Alexander St
Rochester, NY 14607
Phone (585) 546-3280
222 Alexander St
Ste 4200
Rochester, NY 14607
Phone (585) 922-8210
1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
Interoperability endpoints
- mmohamed395754@direct.rochesterregional.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1861568594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1285486647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ALEXANDER ST STE 4200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074056",
"telephone_number": "585-922-9295",
"fax_number": "585-625-6193"
}
],
"practiceLocations": [
{
"address_1": "1455 E Ridge Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146212006",
"country_code": "US",
"telephone_number": "585-974-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMED",
"first_name": "MOHAMED",
"middle_name": "AHMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-01",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "064680",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmohamed395754@direct.rochesterregional.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "222 Alexander St Ste 4200",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146074056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.
- 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.