Individual provider Active NPI

Mohamed A. Hamid, MD, PHD

  • Otology & Neurotology Physician
  • Lyndhurst, OH
National Provider Identifier
1285628347
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
359069345 Issued in OH
Practice address
29001 Cedar Road
Suite 203
Lyndhurst, OH 44124-4062
Phone
(440) 684-9970
Fax
(440) 684-9971
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 35-069345 OH
Otology & Neurotology Physician 207YX0901X 359069345 OH Primary

Addresses

Primary practice location

29001 Cedar Road
Suite 203
Lyndhurst, OH 44124-4062

Mailing address

29001 Cedar Road
Suite 203
Lyndhurst, OH 44124-4062
Phone (440) 684-9970

Other identifiers 2

IdentifierTypeStateIssuer
0211201MedicaidOH
000000121472OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
359069345OHMDOtology & Neurotology Physician
35-069345OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Physicians Inc PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1285628347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR ROAD",
            "address_2": "SUITE 203",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244062",
            "telephone_number": "440-684-9970",
            "fax_number": "440-684-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR ROAD",
            "address_2": "SUITE 203",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441244062",
            "telephone_number": "440-684-9970",
            "fax_number": "440-684-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "MOHAMED",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "35-069345",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OH",
            "license": "359069345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211201",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000121472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.