NPIMap

Individual provider Active NPI

Yassin Mohamed, M.D.

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1386752806
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D79919 Issued in MD
Practice address
300 W Ninth St
Frederick, MD 21701-4541
Phone
(301) 662-8119
Fax
(301) 696-0985
NPI assigned
Aug 25, 2006
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26927 AL
Internal Medicine Physician 207R00000X D79919 MD Primary

Addresses

Primary practice location

300 W Ninth St
Frederick, MD 21701-4541

Mailing address

300 W Ninth St
Frederick, MD 21701-4541
Phone (301) 662-8119

Other identifiers 1

IdentifierTypeStateIssuer
051557219OtherALMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151027000221 MD Practitioner - Internal Medicine 0244245595 Reassigns benefits to 1 organization
I20220920000611 DC Practitioner - Internal Medicine 0244245595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

3305 N Leisure World Blvd
Medstar Health at Leisure World BLV
Silver Spring, MD 20906-1367
Phone (301) 598-1590

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26927ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Sep 13, 2015 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Sep 13, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 15, 2022 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Frederick Health Medical Group LLC Internal Medicine Current Accepting new patients
Athens Limestone Nephrology Associates PastSince Jul 23, 2023 Accepting new patients
Valley Pain Clinic LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

3305 N Leisure World Blvd
Silver Spring, MD 20906
Phone (301) 598-1011

Organizations & group practices 9

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 5

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1386752806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W NINTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014541",
            "telephone_number": "301-662-8119",
            "fax_number": "301-696-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NINTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014541",
            "telephone_number": "301-662-8119",
            "fax_number": "301-696-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "YASSIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "26927",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D79919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "051557219",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.