Individual provider Active NPI

Mohamed Elameen

  • Dentist
  • Seatac, WA
National Provider Identifier
1336720762
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61165875 Issued in WA
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

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709002454 WA Practitioner - Dentist 3173925351 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61165875WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Jul 1, 2021 Accepting new patients
Healthpoint Current Accepting new patients
Healthpoint CurrentSince Jul 1, 2021 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

  • Direct secure messaging: mohamed.elameen.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: melameen749673@direct.ochin.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.