Active NPI
Mahmoud S Mohamed, M.D.
- Clinical Neurophysiology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 35083960
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2672817 | Medicaid | OH | |
| 740387 | Other | OH | BCHP |
| P00380466 | Other | OH | RAILROAD MEDICARE |
| 000000495762 | Other | OH | ANTHEM |
| 04860 | Other | OH | PARAMOUNT |
| 7048613 | Other | MI | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Mercy St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301072814 | MI | MD | Specialist |
| 35083960 | OH | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Neurology & Headache Center Inc | Current | 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 | Past | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Surgery Physician
- Toledo, OH
- NPI 1518070804
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Dearborn, MI
- NPI 1831722560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.