Mohammad Javed Wahid

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

302654 Issued in AZ

Practice address

6560 E Carondelet Dr
Tucson, AZ 85710-2117

Phone

(520) 318-5774

NPI assigned

Dec 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brian S Page DO PLLCGroup PAC ID 4880787589, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brian S Page DO LLC

  • Pain Medicine Physician
  • Glendale, AZ
  • NPI 1821282666
  Medicare reassignment Care Compare group NPD
• Pathways Medical Partners

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1144762238
  Medicare reassignment NPD
• Brian S Page DO LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1205645447
  NPD
• Catalina Hospice PLLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1396351235
  NPD (past)

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1316715022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-318-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-318-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHID",
        "first_name": "MOHAMMAD",
        "middle_name": "JAVED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "302654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wagner, L.AC..
• William Glyn Wagnon, MD
• Jamie Wagoner, MPT
• Riham M Wahba, MD
• Tamara Ayman Wahbeh, MD
• Richard Alan Wahl, M.D.
• Alison Kathleen Waibel, LMT
• William David Waidelich, MD
• Matthew David Wainstein
• Tameena Wais, DO

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.

Verify at the official NPI Registry.