Individual provider Active NPI

Mohamed Awad Siddig

  • Non-emergency Medical Transport (VAN)
  • Nashville, TN
National Provider Identifier
1659801595
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
199903 Issued in TN
Practice address
600 Whispering Hills Dr Apt R10
Nashville, TN 37211-5244
Phone
(615) 919-4641
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 199903 TN Primary

Addresses

Primary practice location

600 Whispering Hills Dr Apt R10
Nashville, TN 37211-5244

Mailing address

PO Box 111382
Nashville, TN 37222-1382
Phone (615) 919-4641

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

State licenses

LicenseStateTypeSpecialty
199903TNMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Zoma Care Inc Non-Emergency Medical Transport (Van) Current Accepting new patients
Zomatrucking 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1659801595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111382",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372221382",
            "telephone_number": "615-919-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WHISPERING HILLS DR APT R10",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115244",
            "telephone_number": "615-919-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIG",
        "first_name": "MOHAMED",
        "middle_name": "AWAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "199903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.