Active NPI
Mohammed Mawla, D.O.
- Physical Medicine & Rehabilitation Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OT012621
- Practice address
- 438 Chestnut St
Springfield, MA 01107 - Phone
- (413) 781-1100
- NPI assigned
- Jun 30, 2008
- Last updated
- Dec 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT012621 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Innovative Physician Services LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Advanced Spine Centers, Inc | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Springfield, MA
- NPI 1922096049
-
- Physical Medicine & Rehabilitation Physician
- Springfield, MA
- NPI 1255691846
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
dba Mercy Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.