Khaja Kamal Mohiuddin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

87365 Issued in GA

Practice address

1001 Memorial LN
Savannah, GA 31410-1220

Phone

(912) 897-3766

Fax

(912) 898-0809

NPI assigned

Mar 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Savannah Primary Care Associates LLCGroup PAC ID 4688935760, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Pooler, GA, CCN 117150
• Amedisys Home Health Home health agency, Savannah, GA, CCN 117078
• Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
• Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Savannah Primary Care Associates, LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1477066355
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Savannah, GA
  • NPI 1942483920
  Care Compare affiliation
• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Caresouth HHA Holdings of South Carolina, LLC

  • Home Health Agency
  • Pooler, GA
  • NPI 1649796582
  Care Compare affiliation
• Savannah Health Services, LLC

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1053824292
  Care Compare affiliation

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1669931598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEMORIAL LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101220",
            "telephone_number": "912-897-3766",
            "fax_number": "912-898-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEMORIAL LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101220",
            "telephone_number": "912-897-3766",
            "fax_number": "912-898-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "KHAJA",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "87365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Mobley, M.D.
• Angela Sinopoli Mock, CRN7A
• John Moesch
• Julie Graham Moesch, MSN, WHNP-BC
• Kamran Mohammad, MD
• Ji Sun Mok, DO
• Savannah Reaves Monahan
• Nicole A Mondrone, BCBA, LBA, MS
• Joseph S. Mondy III, M.D.
• Rose Monico, OTR/L

• Family Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.