Individual provider Active NPI

Mohamad K Doleh, M.D.

  • Pulmonary Disease Physician
  • Dallas, TX
National Provider Identifier
1568428613
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
43763 Issued in TN
Practice address
PO Box 207830
Dallas, TX 75320-7830
Phone
(888) 412-2649
Fax
(405) 792-8910
NPI assigned
Apr 25, 2006
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3587625 OH
Internal Medicine Physician 207R00000X 43763 TN
Pulmonary Disease Physician 207RP1001X 43763 TN Primary

Addresses

Primary practice location

PO Box 207830
Dallas, TX 75320-7830

Mailing address

PO Box 207830
Dallas, TX 75320-7830
Phone (888) 412-2649

Other practice location 1

10904 Kingston Pike Ste 102
Knoxville, TN 37934-2952
Phone (865) 392-1540

Other practice location 2

2240 Sutherland Ave Ste 103
Knoxville, TN 37919-2333
Phone (865) 588-8831

Other practice location 3

2240 Sutherland Ave
Suite 104
Knoxville, TN 37919-2333
Phone (865) 909-0090 ext. 222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080717000659 TN Practitioner - Internal Medicine 9537170881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604

2240 Sutherland Ave
Suite 104
Knoxville, TN 37919-2333

PO Box
Suite 94670
Oklahoma City, OK 73143-4670

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3587625OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Outpatient, LLC Internal Medicine CurrentSince Jul 22, 2020 Accepting new patients
Statcare Inpatient LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Jul 25, 2008 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 25, 2008 Accepting new patients
Parkwest Medical Center Past Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Internal Medicine Past Accepting new patients

Locations

10904 Kingston Pike
Ste 102
Knoxville, TN 37934
Phone (865) 392-1540

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

2240 Sutherland Ave
Ste 103
Knoxville, TN 37919
Phone (865) 934-6100

2240 Sutherland Ave
Ste 104
Knoxville, TN 37919
Phone 8659090090 ext. 222

6473 Kingston Pike
Ste 6473
Knoxville, TN 37919
Phone (865) 269-6915

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/
  • Direct secure messaging: mohamad.doleh.1@19020.direct.athenahealth.com

Organizations & group practices 7

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1568428613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207830",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207830",
            "telephone_number": "888-412-2649",
            "fax_number": "405-792-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 207830",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207830",
            "telephone_number": "888-412-2649",
            "fax_number": "405-792-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10904 Kingston Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342952",
            "country_code": "US",
            "telephone_number": "865-392-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Sutherland Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379192333",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Sutherland Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379192333",
            "country_code": "US",
            "telephone_number": "865-909-0090 x222",
            "fax_number": "865-909-9883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLEH",
        "first_name": "MOHAMAD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "3587625",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "43763",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "43763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.