Active NPI
Mohamed Abdelhameed, MD
- Psychiatry Physician
- Washington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01053053A
- Practice address
- 1314 E Walnut St
Washington, IN 47501-2860 - Phone
- (812) 254-2760
- Fax
- (812) 257-8602
- NPI assigned
- May 18, 2006
- Last updated
- Jun 30, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01053053A | IN | Primary |
| Psychiatry Physician | 2084P0800X | ME103049 | FL |
Addresses
Primary practice location
1314 E Walnut St
Washington, IN 47501-2860
Mailing address
PO Box 760
Washington, IN 47501-0760
Phone (812) 254-2760
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000888600 | Medicaid | FL | |
| 200310320 | Medicaid | IN | |
| 200310320A | Medicaid | IN | |
| 1451G | Other | FL | BLUE CROSS BLUE SHIELD |
| 000000213736 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103049 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Atlantic Psychiatric Centers, Inc. | Psychiatry | Past | Accepting new patients |
Locations
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1314 Grand Ave
Washington, IN 47501
Phone (812) 254-4515
Organizations & group practices 3
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.
-
dba Daviess County Hospital Physicians
- General Acute Care Hospital
- Washington, IN
- NPI 1619154820
-
dba Daviess Community Hospital Orthopaedics
- Orthopaedic Surgery Physician
- Washington, IN
- NPI 1083915326
-
- Psychiatry Physician
- Palm Bay, FL
- NPI 1386691418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1508819913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010760",
"telephone_number": "812-254-2760",
"fax_number": "812-257-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E WALNUT ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475012860",
"telephone_number": "812-254-2760",
"fax_number": "812-257-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELHAMEED",
"first_name": "MOHAMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01053053A",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME103049",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000888600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200310320",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200310320A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1451G",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000213736",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.