Active NPI
Mohamed Elameen
- Dentist
- Seatac, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61165875
- Practice address
- 4040 S 188TH St Ste 201
Seatac, WA 98188-5070 - Phone
- (206) 439-2149
- NPI assigned
- Apr 17, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE61165875 | WA | Primary |
Addresses
Primary practice location
4040 S 188TH St Ste 201
Seatac, WA 98188-5070
Mailing address
4400 37TH Ave S
Seattle, WA 98118-1609
Phone (206) 296-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210709002454 | WA | Practitioner - Dentist | 3173925351 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61165875 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Current | Accepting new patients | |
| Healthpoint | Current | Accepting new patients | |
| Healthpoint | Current | Accepting new patients | |
| Healthpoint | General Practice | Past | Accepting new patients |
| Healthpoint | Past | Accepting new patients | |
| Healthpoint | General Practice | Past | Accepting new patients |
| Healthpoint | Past | Accepting new patients | |
| Healthpoint | General Practice | Past | Accepting new patients |
| Healthpoint | Past | Accepting new patients | |
| Healthpoint | Past | Accepting new patients | |
| Healthpoint | General Practice | Past | Accepting new patients |
| Healthpoint | Past | Accepting new patients |
Locations
126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166
10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658
33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634
403 E Meeker St
Ste 100
Kent, WA 98030
Phone (253) 796-4071
403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866
16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697
955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166
200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536
4040 S 188th St
Ste 201
Seatac, WA 98188
Phone (206) 277-7200
Interoperability endpoints
- mohamed.elameen.p3@direct.hpc.nextgenshare.com
- melameen749673@direct.ochin.org
- melameen20232@healthpoint.direct-ci.com
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- Federal Way, WA
- NPI 1679575039
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1770471377
-
- Federally Qualified Health Center (FQHC)
- Federal Way, WA
- NPI 1104819788
General Practice
-
- Federally Qualified Health Center (FQHC)
- Tukwila, WA
- NPI 1124482310
-
- Federally Qualified Health Center (FQHC)
- Bothell, WA
- NPI 1447515887
-
- Federally Qualified Health Center (FQHC)
- Des Moines, WA
- NPI 1477807261
-
- Federally Qualified Health Center (FQHC)
- Seatac, WA
- NPI 1831778620
-
- Federally Qualified Health Center (FQHC)
- Redmond, WA
- NPI 1891795621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787443200000",
"number": "1336720762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 37TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981181609",
"telephone_number": "206-296-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S 188TH ST STE 201",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885070",
"telephone_number": "206-439-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAMEEN",
"first_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-17",
"last_updated": "2026-08-23",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61165875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.