Individual provider Active NPI

Mohammed Rashed, MD

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1568086148
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
70138 Issued in AZ
Practice address
2017 E Adobe St
Mesa, AZ 85213-6740
Phone
(480) 244-5373
NPI assigned
May 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 70138 AZ Primary

Addresses

Primary practice location

2017 E Adobe St
Mesa, AZ 85213-6740

Mailing address

4236 N 27TH St Unit 27
Phoenix, AZ 85016-5976
Phone (312) 919-2362

Other practice location 1

13071 Ridgewood Dr
Palos Park, IL 60464-2512
Phone (312) 919-2362

Other practice location 2

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250624001459 IN Practitioner - Pediatric Medicine 1153743851 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70138AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Fl 2
Saint John, IN 46373
Phone (219) 226-2380

Interoperability endpoints

  • Direct secure messaging: mrashed678783@ssdirect.comhs.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1568086148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 N 27TH ST UNIT 27",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165976",
            "telephone_number": "312-919-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E ADOBE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136740",
            "telephone_number": "480-244-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13071 Ridgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Palos Park",
            "state": "IL",
            "postal_code": "604642512",
            "country_code": "US",
            "telephone_number": "312-919-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081282",
            "country_code": "US",
            "telephone_number": "269-337-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHED",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-30",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "70138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.