Individual provider Active NPI

Amad Mohammad, MD

  • Family Medicine Physician
  • Glasgow, KY
National Provider Identifier
1336843044
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6664 Issued in KY
Practice address
1325 N Race St
Glasgow, KY 42141-3427
Phone
(815) 909-0047
NPI assigned
Mar 28, 2023
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X R6664 KY Primary

Addresses

Primary practice location

1325 N Race St
Glasgow, KY 42141-3427

Mailing address

1361 Argyle LN S
Bourbonnais, IL 60914-5109
Phone (815) 909-0047

Other practice location 1

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250823000120 KY Practitioner - Internal Medicine 0749780864 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Urgent Care Services Southeast PSCGroup PAC ID 0345694766, 18 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4100

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Sep 1, 2025 Accepting new patients
Concord Medical Group of Kentucky PLLC CurrentSince Dec 30, 2025 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Sep 1, 2025 Accepting new patients
Urgent Care Services Southeast PSC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince Jan 20, 2026 Accepting new patients
Leitchfield Primary Care PLLC Family Medicine PastSince Dec 30, 2025 Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

Interoperability endpoints

  • Direct secure messaging: amohammad87712@direct.optum.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1336843044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ARGYLE LN S",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145109",
            "telephone_number": "815-909-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413427",
            "telephone_number": "815-909-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 River Rd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070476217",
            "country_code": "US",
            "telephone_number": "201-854-5713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "AMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R6664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.