NPIMap

Individual provider Active NPI

Dost Mohammed, M.D.

  • Family Medicine Physician
  • New Albany, IN
National Provider Identifier
1609987833
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01047113A Issued in IN
Practice address
5130 Charlestown Rd
Suite 1
New Albany, IN 47150-9483
Phone
(812) 949-0140
Fax
(812) 949-0279
NPI assigned
Aug 31, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01047113A IN Primary

Addresses

Primary practice location

5130 Charlestown Rd
Suite 1
New Albany, IN 47150-9483

Mailing address

5130 Charlestown Rd Ste 1
New Albany, IN 47150-9483
Phone (812) 748-2523

Other identifiers 1

IdentifierTypeStateIssuer
200040680MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000704 IN Practitioner - Family Practice 9133399165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5130 Charlestown Rd
Suite 1
New Albany, IN 47150-9483
Phone (812) 748-2523

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01047113AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamburg Family Health LLC CurrentSince Feb 1, 2020 Accepting new patients
Lifespring, Inc CurrentSince Mar 1, 2022 Accepting new patients
Lifespring Inc CurrentSince Mar 1, 2022 Accepting new patients
Lifespring, Inc Current Accepting new patients
Lifespring Inc Past Accepting new patients

Locations

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

2604 Charlestown Rd
New Albany, IN 47150
Phone (812) 704-5095

5130 Charlestown Rd
Ste 1
New Albany, IN 47150
Phone (812) 748-2523

Organizations & group practices 6

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 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1609987833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD STE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "812-748-2523",
            "fax_number": "812-602-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD",
            "address_2": "SUITE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "812-949-0140",
            "fax_number": "812-949-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "DOST",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01047113A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200040680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.