Individual provider Active NPI

Mahmoud S Mohamed, M.D.

  • Clinical Neurophysiology Physician
  • Toledo, OH
National Provider Identifier
1679569222
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
35083960 Issued in OH
Practice address
4417 N Holland Sylvania Rd
Suite 301C
Toledo, OH 43623-3518
Phone
(419) 517-5333
Fax
(419) 517-5333
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301072814 MI
Clinical Neurophysiology Physician 2084N0600X 35083960 OH Primary

Addresses

Primary practice location

4417 N Holland Sylvania Rd
Suite 301C
Toledo, OH 43623-3518

Mailing address

4417 N Holland Sylvania Rd
Suite 301C
Toledo, OH 43623-3518
Phone (419) 517-5333

Other identifiers 6

IdentifierTypeStateIssuer
2672817MedicaidOH
740387OtherOHBCHP
P00380466OtherOHRAILROAD MEDICARE
000000495762OtherOHANTHEM
04860OtherOHPARAMOUNT
7048613OtherMIAETNA

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
I20060418000164 OH Practitioner - Neurology 0244218493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4417 N Holland Sylvania Rd
Suite 301B
Toledo, OH 43623-3518
Phone (419) 517-5333

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072814MIMDSpecialist
35083960OHMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurology & Headache Center Inc CurrentSince Jan 15, 2007 Accepting new patients
The Orthopaedic Network, Inc. Past Accepting new patients
Rose Neurology, PC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Wayne Neurology PLC Specialist PastSince Dec 1, 2006 Accepting new patients

Locations

4417 N Holland Sylvania Rd
Ste 301B
Toledo, OH 43623
Phone (419) 517-5333

4417 N Holland Sylvania Rd
Ste 301C
Toledo, OH 43623
Phone (419) 517-5333

Organizations & group practices 5

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 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1679569222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 301C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233518",
            "telephone_number": "419-517-5333",
            "fax_number": "419-517-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 301C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233518",
            "telephone_number": "419-517-5333",
            "fax_number": "419-517-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MAHMOUD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301072814",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "35083960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2672817",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHP",
            "identifier": "740387",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00380466",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000495762",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04860",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7048613",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.