Individual provider Active NPI

Mohammad Al Darawsha, MD

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1417443243
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V4084 Issued in TX
Practice address
4887 Williams Dr Ste 107
Georgetown, TX 78633-2440
Phone
(512) 588-7008
Fax
(888) 440-2690
NPI assigned
Jul 4, 2018
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V4084 TX Primary

Addresses

Primary practice location

4887 Williams Dr Ste 107
Georgetown, TX 78633-2440

Mailing address

4887 Williams Dr Ste 107
Georgetown, TX 78633-2440
Phone (512) 588-7008

Other practice location 1

4875 Williams Dr
Georgetown, TX 78633-2429
Phone (512) 588-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241212001004 TX Practitioner - Internal Medicine 9234531930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Bay LLCGroup PAC ID 0941736094, 2 clinicians

Practice addresses (Care Compare)

4887 Williams Dr
Suite 107
Georgetown, TX 78633-2440
Phone (512) 588-7008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021025596MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Bay LLC Internal Medicine CurrentSince Jan 2, 2025 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

4887 Williams Dr
Ste 107
Georgetown, TX 78633
Phone (424) 302-8720

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1417443243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332440",
            "telephone_number": "512-588-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332440",
            "telephone_number": "512-588-7008",
            "fax_number": "888-440-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4875 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786332429",
            "country_code": "US",
            "telephone_number": "512-588-7008",
            "fax_number": "888-440-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL DARAWSHA",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V4084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.