Individual provider Active NPI

Mohammad J Uddin, MD

  • Internal Medicine Physician
  • Bay Minette, AL
National Provider Identifier
1679654917
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19994 Issued in AL
Practice address
1903 Hand Ave
Bay Minette, AL 36507-4112
Phone
(251) 937-7970
Fax
(251) 937-9260
NPI assigned
Oct 17, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.19994 AL
Internal Medicine Physician 207R00000X 19994 AL Primary

Addresses

Primary practice location

1903 Hand Ave
Bay Minette, AL 36507-4112

Mailing address

1903 Hand Ave
Bay Minette, AL 36507-4112
Phone (251) 937-7970

Other identifiers 11

IdentifierTypeStateIssuer
515-32972OtherALBCBS
1679654917OtherALTRICARE SOUTH
009935491MedicaidAL
009936104MedicaidAL
515-33348OtherALBCBS
009936107MedicaidAL
009950520MedicaidAL
51501310OtherALBCBS AL
009936106MedicaidAL
510-03504OtherALBCBS
515-33349OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040406001096 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 6002809969 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians
Bay Minette Medical Arts Center PCGroup PAC ID 3274526124, 3 clinicians

Practice addresses (Care Compare)

16 Medical Ctr Dr
Monroeville, AL 36460-3036
Phone (251) 575-1999

1815 Hand Ave
Bay Minette, AL 36507-4110
Phone (251) 279-1553

1903 Hand Ave
Bay Minette, AL 36507-4112

2305 Hand Ave
Suite 2
Bay Minette, AL 36507-4198
Phone (251) 937-7970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19994ALMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-North Baldwin Primary Plus, LLC CurrentSince May 14, 2012 Accepting new patients
Gulf Health Hospitals, Inc. Current Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Oct 19, 2024 Accepting new patients
Gulf Health Hospitals, Inc CurrentSince Jan 8, 2017 Accepting new patients
Bay Minette Medical Arts Center PC Internal Medicine CurrentSince May 1, 2001 Accepting new patients
Gulf Coast Health & Wellness, LLC CurrentSince Jan 25, 2025 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jan 8, 2017 Accepting new patients
WH Services Atmore LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Bay Minette Pediatrics Past Accepting new patients
Mobile Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

108C McMeans Ave
Bay Minette, AL 36507
Phone (251) 491-0059

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

1903 Hand Ave
Bay Minette, AL 36507
Phone (251) 580-1701

2115 Hand Ave
Ste B
Bay Minette, AL 36507
Phone (251) 937-7100

2305 Hand Ave
Ste 1
Bay Minette, AL 36507
Phone (251) 239-8198

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

16 Medical Center Dr
Monroeville, AL 36460
Phone (251) 575-3266

Interoperability endpoints

  • Direct secure messaging: mohammad.uddin.1@31146.direct.athenahealth.com
  • Direct secure messaging: mohammad.uddin.1@31894.direct.athenahealth.com
  • Direct secure messaging: muddin14274@directinfirmaryhealth.org

Organizations & group practices 10

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 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1679654917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074112",
            "telephone_number": "251-937-7970",
            "fax_number": "251-937-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074112",
            "telephone_number": "251-937-7970",
            "fax_number": "251-937-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MOHAMMAD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.19994",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-32972",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1679654917",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935491",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936104",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-33348",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936107",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009950520",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51501310",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936106",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-03504",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-33349",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.