Individual provider Active NPI

Mohamed Roshdi Mohamed, DPT, M.D.

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1356623623
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T0288 Issued in TX
Practice address
4900 Harry Hines Blvd
Dallas, TX 75235-7708
Phone
(214) 590-5601
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-50837 KS
Physical Therapist 225100000X 033903 NY
Physical Therapist 225100000X 40QA01416500 NJ
Student in an Organized Health Care Education/Training Program 390200000X NJ
Ophthalmology Physician 207W00000X T0288 TX Primary

Addresses

Primary practice location

4900 Harry Hines Blvd
Dallas, TX 75235-7708

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-2020

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-3533
Phone (214) 648-3848

Other practice location 2

2350 N Stemmons Fwy
Dallas, TX 75207-2700
Phone (844) 424-4537

Other practice location 3

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (844) 424-4537

Other practice location 4

1821 N Webb Rd Ste 201
Wichita, KS 67206-3435
Phone (316) 684-5158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210524001109 TX Practitioner - Ophthalmology 4688848955 Reassigns benefits to 1 organization
I20250424002711 KS Practitioner - Ophthalmology 4688848955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grene Vision Group LLCGroup PAC ID 1254324023, 9 clinicians

Practice addresses (Care Compare)

1821 N Webb Rd
Suite 201
Wichita, KS 67206-3413
Phone (316) 684-5158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-50837KSMDOphthalmology Physician
033903NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Ophthalmology CurrentSince Jul 7, 2021 Accepting new patients
Grene Vision Group LLC Ophthalmology CurrentSince Jun 14, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 7, 2021 Accepting new patients
Grene Vision Group LLC Ophthalmology CurrentSince Jun 14, 2025 Accepting new patients

Locations

1821 N Webb Rd
Ste 201
Wichita, KS 67206
Phone (316) 684-5158

1277 N Maize Rd
Wichita, KS 67212
Phone (316) 722-8883

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

4900 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1900

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: mmohamed146230@direct.phhs.org
  • Direct secure messaging: mohamed.mohamed.p1@direct.gvg.nextgenshare.com

Organizations & group practices 5

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.

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1356623623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753903533",
            "country_code": "US",
            "telephone_number": "214-648-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 N Stemmons Fwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752072700",
            "country_code": "US",
            "telephone_number": "844-424-4537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Medical District Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "844-424-4537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 N Webb Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063435",
            "country_code": "US",
            "telephone_number": "316-684-5158",
            "fax_number": "316-681-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MOHAMED",
        "middle_name": "ROSHDI",
        "name_prefix": "Dr.",
        "credential": "DPT, M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-50837",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033903",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01416500",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T0288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.