Individual provider Active NPI

Mohammad Samer Ammar, MD

  • Pediatric Gastroenterology Physician
  • Nashville, TN
National Provider Identifier
1396715355
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
48766 Issued in TN
Practice address
330 23Rd Ave N
Suite 450
Nashville, TN 37203-1534
Phone
(615) 342-7339
Fax
(615) 342-7340
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 036-115594 IL
Pediatric Gastroenterology Physician 2080P0206X 48766 TN Primary

Addresses

Primary practice location

330 23Rd Ave N
Suite 450
Nashville, TN 37203-1534

Mailing address

330 23Rd Ave N
Suite 450
Nashville, TN 37203-1534
Phone (615) 342-7339

Other identifiers 3

IdentifierTypeStateIssuer
3274132MedicaidTN
4329055OtherBCBS
036115594MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MOHAMMAD.AMMAR@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170907002376 TN Practitioner - Gastroenterology 5193721991 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115594ILMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens and Childrens Specialists, LLC CurrentSince May 15, 2017 Accepting new patients
Pediatrix Medical Group of Tennessee, P.C. PastSince May 15, 2017 Accepting new patients

Locations

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

2400 Patterson St
Ste 218
Nashville, TN 37203
Phone (615) 340-9378

330 23rd Ave N
Ste 450
Nashville, TN 37203
Phone (615) 342-7339

Interoperability endpoints

  • Direct secure messaging: mohammad.ammar@hca1.eclinicaldirectplus.com

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1396715355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 450",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-342-7339",
            "fax_number": "615-342-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 450",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-342-7339",
            "fax_number": "615-342-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMAR",
        "first_name": "MOHAMMAD SAMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IL",
            "license": "036-115594",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TN",
            "license": "48766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3274132",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4329055",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115594",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MOHAMMAD.AMMAR@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 23rd Ave N",
            "address_2": "SUITE 450",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.