Individual provider Active NPI

Ahmed Hashim Mohammed, MD

  • Internal Medicine Physician
  • Winnebago, NE
National Provider Identifier
1497729032
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
034508 Issued in CT
Practice address
1 Main Street
PHS Winnebago Hospital
Winnebago, NE 68071-0767
Phone
(402) 878-1223
Fax
(402) 878-2535
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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 034508 CT Primary

Addresses

Primary practice location

1 Main Street
PHS Winnebago Hospital
Winnebago, NE 68071-0767

Mailing address

PO Box HH
Winnebago, NE 68071-0767
Phone (402) 878-1223

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
I20050614000359 TX Practitioner - Internal Medicine 5597709311 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034508CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chemawa Indian Health Center DHHS IHS Western Oregon Serv Unit CurrentSince Mar 26, 2018 Accepting new patients

Locations

3750 Chemawa Rd NE
Salem, OR 97305
Phone (503) 304-7600

Organizations & group practices 1

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1497729032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX HH",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680710767",
            "telephone_number": "402-878-1223",
            "fax_number": "402-878-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN STREET",
            "address_2": "PHS WINNEBAGO HOSPITAL",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680710767",
            "telephone_number": "402-878-1223",
            "fax_number": "402-878-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "AHMED",
        "middle_name": "HASHIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "034508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, NE

Sources for this page

Verify at the official NPI Registry.