Active NPI
Mohammad Samer Ammar, MD
- Pediatric Gastroenterology Physician
- Nashville, TN
National Provider Identifier
1396715355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 48766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3274132 | Medicaid | TN | |
| 4329055 | Other | BCBS | |
| 036115594 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-115594 | IL | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens and Childrens Specialists, LLC | Current | Accepting new patients | |
| Pediatrix Medical Group of Tennessee, P.C. | Past | 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
- 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.
-
- Neonatal-Perinatal Medicine Physician
- Nashville, TN
- NPI 1497852107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.