Individual provider Active NPI

Mohammed Mawla, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
National Provider Identifier
1689836702
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OT012621 Issued in PA
Practice address
438 Chestnut St
Springfield, MA 01107
Phone
(413) 781-1100
NPI assigned
Jun 30, 2008
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OT012621 PA Primary

Addresses

Primary practice location

438 Chestnut St
Springfield, MA 01107

Mailing address

438 Chestnut St
Springfield, MA 01107
Phone (413) 781-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130422000038 MA Practitioner - Physical Medicine and Rehabilitation 9133383904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

438 Chestnut St
Springfield, MA 01107-2008
Phone (413) 781-1100

554 Main St
Worcester, MA 01608-2062
Phone (413) 301-6019

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012621PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Express Urgent Care Center, Co. Inc. Physical Medicine & Rehabilitation CurrentSince Feb 6, 2013 Accepting new patients
Innovative Physician Services LLC Physical Medicine & Rehabilitation CurrentSince Oct 17, 2025 Accepting new patients
Advanced Spine Centers, Inc PastSince Feb 6, 2013 Accepting new patients

Locations

90 Everett Ave
Chelsea, MA 02150
Phone (413) 301-6019

779 Dudley St
Dorchester, MA 02125
Phone (413) 301-6019

294 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3958

1200 Converse St
Ste L3
Longmeadow, MA 01106
Phone (413) 567-4200

438 Chestnut St
Springfield, MA 01107
Phone (413) 746-0504

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

554 Main St
Worcester, MA 01608
Phone (413) 301-6019

Organizations & group practices 3

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 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1689836702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-781-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-781-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWLA",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OT012621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.