Individual provider Active NPI

Mohammed Aboabid Mohammed

  • Non-emergency Medical Transport (VAN)
  • Salem, OR
National Provider Identifier
1588317374
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
3260 Felina Ave NE Apt 220
Salem, OR 97301-1486
Phone
(971) 332-7864
Fax
(971) 600-9059
NPI assigned
Feb 1, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

3260 Felina Ave NE Apt 220
Salem, OR 97301-1486

Mailing address

3530 Liberty Rd S Ste G
Salem, OR 97302-5622
Phone (971) 332-7864

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL attatgl787@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Transportation LLC Non-Emergency Medical Transport (Van) Current Accepting new patients
Atta Transportation Group LLC Non-Emergency Medical Transport (Van) Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1588317374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 LIBERTY RD S STE G",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025622",
            "telephone_number": "971-332-7864",
            "fax_number": "971-600-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 FELINA AVE NE APT 220",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011486",
            "telephone_number": "971-332-7864",
            "fax_number": "971-600-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "MOHAMMED",
        "middle_name": "ABOABID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "attatgl787@gmail.com",
            "affiliation": "N",
            "address_1": "3260 Felina Ave NE Apt 220",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973011486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.