Active NPI
Fatima Mohammad Nabi Tik Mohammad, MD
- Surgery Physician
- Chester, PA
National Provider Identifier
1295383586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- LT000836
- Practice address
- 1 Medical Center Blvd
Chester, PA 19013-3995 - Phone
- (610) 447-2000
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LT000836 | PA | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Chester, PA 19013-3995
Mailing address
3104 Saratoga LN
Norristown, PA 19403-6321
Phone (267) 678-8828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200625002455 | IN | Order and Referring Only - Plastic and Reconstructive Surgery | 7315369006 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT000836 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1295383586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 SARATOGA LN",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194036321",
"telephone_number": "267-678-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "CHESTER",
"state": "PA",
"postal_code": "190133995",
"telephone_number": "610-447-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIK MOHAMMAD",
"first_name": "FATIMA",
"middle_name": "MOHAMMAD NABI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "LT000836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.