Individual provider Active NPI

Dalia A Mohammed, MD

  • Family Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1316258080
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD449947 Issued in PA
Practice address
4070 Butler Pike Ste 20
Plymouth Meeting, PA 19462-1556
Phone
(610) 825-5741
Fax
(610) 825-2501
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD449947 PA Primary

Addresses

Primary practice location

4070 Butler Pike Ste 20
Plymouth Meeting, PA 19462-1556

Mailing address

PO Box 789967
Philadelphia, PA 19178-9967
Phone (484) 622-7395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131227001347 PA Practitioner - Family Practice 3577790278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

4070 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1510
Phone (610) 825-5741

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. CurrentSince Jul 15, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Fornance Physician Services, Inc Family Medicine CurrentSince Jul 15, 2019 Accepting new patients
Fornance Physician Services, Inc. Family Medicine Current Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1545 Broadway
Bethlehem, PA 18015
Phone (610) 865-6112

721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600

100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

1330 Powell St
Ste 409
Norristown, PA 19401
Phone (484) 622-7510

342 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 279-1500

1330 Powell St
Ste 308
Norristown, PA 19401
Phone (484) 622-7371

1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741

Interoperability endpoints

  • Direct secure messaging: dalia.mohammed@slpg.direct-sluhn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1316258080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789967",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191789967",
            "telephone_number": "484-622-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BUTLER PIKE STE 20",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621556",
            "telephone_number": "610-825-5741",
            "fax_number": "610-825-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "DALIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD449947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.