Individual provider Active NPI

Mohammad Tamer Hanafy, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1346828522
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2025009753 Issued in MO
Practice address
4500 Frankford Ave # 10
Philadelphia, PA 19124-3602
Phone
(888) 296-4742
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD491508 PA
Internal Medicine Physician 207R00000X 2025009753 MO Primary

Addresses

Primary practice location

4500 Frankford Ave # 10
Philadelphia, PA 19124-3602

Mailing address

2621 S Jefferson Ave Apt 324
Springfield, MO 65807-3778
Phone (765) 760-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250828004011 PA Practitioner - Internal Medicine 8820599178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Philadelphia Health Action IncGroup PAC ID 9537064977, 70 clinicians

Practice addresses (Care Compare)

4510 Frankford Ave
Philadelphia, PA 19124-3602
Phone (215) 744-1302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025009753MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. Internal Medicine CurrentSince Aug 15, 2025 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Aug 15, 2025 Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

Interoperability endpoints

  • Direct secure messaging: mohammad.hanafy.p1@direct.gpha.nextgenshare.com
  • Direct secure messaging: mohammad.hanafy@hca6.eclinicaldirectplus.com

Organizations & group practices 3

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1346828522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S JEFFERSON AVE APT 324",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073778",
            "telephone_number": "765-760-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FRANKFORD AVE # 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243602",
            "telephone_number": "888-296-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAFY",
        "first_name": "MOHAMMAD",
        "middle_name": "TAMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD491508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2025009753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.