Individual provider Active NPI

Ahmed Roble Mohamed, MD

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1326167792
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18508 Issued in MN
Practice address
1508 E Franklin Ave Ste 300
Minneapolis, MN 55404-2157
Phone
(612) 353-6720
Fax
(612) 354-2856
NPI assigned
Mar 28, 2007
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 18508 MN Primary

Addresses

Primary practice location

1508 E Franklin Ave Ste 300
Minneapolis, MN 55404-2157

Mailing address

7373 France Ave S
Edina, MN 55435-4534
Phone (952) 985-8200

Other practice location 1

7373 France Ave S
Edina, MN 55435-4534
Phone (952) 985-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20081215000481 MN Practitioner - Family Practice 1052473790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1508 E Franklin Ave
Suite 300
Minneapolis, MN 55404-2157
Phone 61235367200000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18508MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Feb 1, 2016 Accepting new patients
Fairview Express Care CurrentSince Feb 1, 2016 Accepting new patients
Fairview Health Services CurrentSince Feb 1, 2016 Accepting new patients
Group Health, Inc. Current Accepting new patients
Urgent Amerikan Clinic CurrentSince Aug 1, 2015 Accepting new patients
Fairview Express Care CurrentSince Feb 1, 2016 Accepting new patients
Group Health, Inc. CurrentSince Nov 3, 2015 Accepting new patients
Group Health Plan, Inc. CurrentSince Nov 3, 2015 Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500

1508 E Franklin Ave
Ste 300
Minneapolis, MN 55404
Phone (612) 353-6720

7373 France Ave S
Minneapolis, MN 55435
Phone (952) 428-0600

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1326167792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "952-985-8200",
            "fax_number": "952-985-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 E FRANKLIN AVE STE 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042157",
            "telephone_number": "612-353-6720",
            "fax_number": "612-354-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354534",
            "country_code": "US",
            "telephone_number": "952-985-8200",
            "fax_number": "952-985-8199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AHMED",
        "middle_name": "ROBLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "18508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.