Individual provider Active NPI

Mohiuddin Ghazi, MD

  • Internal Medicine Physician
  • Mount Gilead, OH
National Provider Identifier
1598869174
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35065931 Issued in OH
Practice address
900 Meadow Dr
Suite B
Mount Gilead, OH 43338-1063
Phone
(678) 766-3605
Fax
(614) 533-1442
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35065931 OH Primary

Addresses

Primary practice location

900 Meadow Dr
Suite B
Mount Gilead, OH 43338-1063

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other identifiers 2

IdentifierTypeStateIssuer
31142883000OtherOHBUREAU WORKERS COMP
0132976MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mghazi113471@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101101000901 OH Practitioner - Internal Medicine 9830383165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

900 Meadow Dr
Suite a
Mount Gilead, OH 43338-1063
Phone (567) 876-6360

Hospital & facility affiliations

  • Ohiohealth Home Health With Compassus Home health agency, Dublin, OH, CCN 367615
  • Ohiohealth Morrow County Hospital Hospital, Mount Gilead, OH, CCN 361313
  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35065931OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

73 Sportsman Dr
Marengo, OH 43334
Phone (419) 949-3073

900 Meadow Dr
Mount Gilead, OH 43338
Phone (419) 946-2946

900 Meadow Dr
Ste A
Mount Gilead, OH 43338
Phone (567) 876-6360

900 Meadow Dr
Ste B
Mount Gilead, OH 43338
Phone (419) 946-9109

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

6519 US Highway 42
Mount Gilead, OH 43338
Phone (419) 362-6003

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1598869174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEADOW DR",
            "address_2": "SUITE B",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381063",
            "telephone_number": "678-766-3605",
            "fax_number": "614-533-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZI",
        "first_name": "MOHIUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35065931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU WORKERS COMP",
            "identifier": "31142883000",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132976",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mghazi113471@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "900 Meadow Dr",
            "address_2": "Ste A",
            "city": "Mount Gilead",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433381063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

Verify at the official NPI Registry.