Mohammed Abo Khamis, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Modesto, CA
NPI 1508098419 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1508098419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 35. 099625 (OH)
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4404 - Phone
- (209) 576-3525
- NPI assigned
- Aug 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulmonary and Critical Care Associates of Modesto Inc
First Choice Physician Partners
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 576-3525
1541 Florida Ave
Suite 305
Modesto, CA 95350-4439
Phone (209) 577-3388
Hospital & facility affiliations
- Doctors Medical Center
- Emanuel Medical Center
- Doctors Hospital of Manteca
- Mercy Medical Center
- Oak Valley Hospital District
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130610000559 | OH | Practitioner - Pulmonary Disease | 5496994121 | Practice locations: Barberton, OH |
| I20190913002432 | CA | Practitioner - Pulmonary Disease | 5496994121 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35. 099625 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Critical Care Associates of Modesto Inc | Pulmonary Disease | Current |
Accepting new patients |
| First Choice Physician Partners | Current |
Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current |
Accepting new patients | |
| Hospitalists of Modesto Medical Group Inc | Current |
Accepting new patients | |
| Summit Pulmonary Inc | Pulmonary Disease | Past |
Accepting new patients |
| Meridian Hospitals Corporation | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Hospitalists of Modesto Medical Group | Past | Accepting new patients | |
| Akron General Medical Center | Past | Accepting new patients |
Locations
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1541 Florida Ave
Ste 305
Modesto, CA 95350
Phone (209) 575-5833
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
160 E Artesia St
Pomona, CA 91767
Phone (909) 622-5654
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Interoperability endpoints
- mohammed.abo.khamis.1@14035.direct.athenahealth.com
- mohammed.abo.khamis.1@16567.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35. 099625 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35. 099625 | OH | Yes |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4404
Mailing address
570 Parkhill Dr
Apt.14
Fairlawn, OH 44333-9151
Phone (313) 701-5337
Other practice location 1
91 5th St SE
Barberton, OH 44203-4203
Phone (330) 753-1383
Other providers in Modesto, CA
- Daryoush Aberoumand
- Alexandra Abiar
- Abidali Professional Medical Inc
- Ability Medco Inc
- Able Inc.
- Yvonne Martinez Aboujudom
- Victor Alfredo Aboytes
- Breann Abraham
- Roxanne Abrams
- Monica Josefina Abrica Espinoza
All providers in Modesto, CA · Pulmonary Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.