Individual provider Active NPI

Mahmood Mohamadi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Oxon Hill, MD
National Provider Identifier
1700828233
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D14619 Issued in MD
Practice address
6130 Oxon Hill Rd
Oxon Hill, MD 20745-3103
Phone
(301) 567-9570
Fax
(301) 567-5290
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D14619 MD Primary

Addresses

Primary practice location

6130 Oxon Hill Rd
Oxon Hill, MD 20745-3103

Mailing address

6130 Oxon Hill Rd
Oxon Hill, MD 20745-3103
Phone (301) 567-9570

Other identifiers 2

IdentifierTypeStateIssuer
021842700OtherMEDICAID OF D.C.
002681600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040714001406 DC Practitioner - Internal MedicinePractitioner - Endocrinology 6800875865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

6130 Oxon Hill Rd
Suite 204
Oxon Hill, MD 20745-3168
Phone (301) 567-9570

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
22.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahmood Mohamadi, M.D, PA Endocrinology, Diabetes & Metabolism CurrentSince Apr 3, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 630
Chevy Chase, MD 20815
Phone (301) 466-1207

6130 Oxon Hill Rd
Ste 204
Oxon Hill, MD 20745
Phone (240) 346-4150

Interoperability endpoints

  • Direct secure messaging: mmohamadi52156@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1700828233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453103",
            "telephone_number": "301-567-9570",
            "fax_number": "301-567-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453103",
            "telephone_number": "301-567-9570",
            "fax_number": "301-567-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMADI",
        "first_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D14619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OF D.C.",
            "identifier": "021842700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002681600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.