NPIMap

Individual provider Active NPI

Assad Ismaeel Adam Mohammedzein, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1659804474
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD473333 Issued in PA
Practice address
7600 Central Ave FL 2
Philadelphia, PA 19111-2442
Phone
(215) 728-2276
Fax
(215) 214-4119
NPI assigned
Apr 8, 2017
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 66456 CT
Internal Medicine Physician 207R00000X MD473333 PA Primary

Addresses

Primary practice location

7600 Central Ave FL 2
Philadelphia, PA 19111-2442

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 926-9022

Other practice location 1

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-1622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210909003769 PA Practitioner - Internal Medicine 3375813579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inhospital Physicians CorpGroup PAC ID 3779888110, 24 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone (484) 965-9566

3401 N Broad St
Philadelphia, PA 19140-5103

7600 Central Ave
Philadelphia, PA 19111-2499
Phone (215) 728-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
65.57
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inhospital Physicians Corp Internal Medicine CurrentSince Jan 17, 2024 Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Oct 1, 2021 Accepting new patients
Reddy & Associates PC CurrentSince Sep 5, 2021 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Oct 1, 2021 Accepting new patients
Temple Physicians Inc CurrentSince Oct 1, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Prime Healthcare Services Roxborough LLC Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

7600 Central Ave
Fl 2
Philadelphia, PA 19111
Phone (215) 725-7600

Organizations & group practices 12

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 9

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": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1659804474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-926-9022",
            "fax_number": "215-226-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CENTRAL AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112442",
            "telephone_number": "215-728-2276",
            "fax_number": "215-214-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-1622",
            "fax_number": "215-707-0943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMEDZEIN",
        "first_name": "ASSAD",
        "middle_name": "ISMAEEL ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "66456",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD473333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.