Mohammad Samir Al-Kharrat, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01068856A Issued in IN

Practice address

17648 Morse St
Lowell, IN 46356-1420

Phone

(219) 696-6258

Fax

(219) 696-6292

NPI assigned

Jan 18, 2008

Last updated

Mar 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

24 On Physician Partners PCGroup PAC ID 1557613130, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• 24 On Physician Partners, PC

  • Hospitalist Physician
  • Hobart, IN
  • NPI 1013497106
  Medicare reassignment Care Compare group NPD
• Dominion Medical Center, LLC

  • Internal Medicine Physician
  • King George, VA
  • NPI 1114109261
  NPD (past)
• Gram Resources, Inc

  • Diagnostic Radiology Physician
  • Hazard, KY
  • NPI 1083706246
  NPD (past)
• Jackson Physician Corp

  dba Jackson Orthopedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Jackson, KY
  • NPI 1063712701
  NPD (past)
• US Advanced Imaging Inc

  • Nuclear Radiology Physician
  • Aurora, IL
  • NPI 1023207834
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1710163837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17648 MORSE ST",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561420",
            "telephone_number": "219-696-6258",
            "fax_number": "219-696-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17648 MORSE ST",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561420",
            "telephone_number": "219-696-6258",
            "fax_number": "219-696-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHARRAT",
        "first_name": "MOHAMMAD",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068856A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Brian Joseph Addlesberger, OTR
• Advanced Healing and Wellness Group LLC
• Kristy Alvarez
• Eva Ruth Anderson, RPH
• Arc Bridges, Inc
• Justin Bales, DPT
• Belinda Lewis Hubert PHD, FPPR, Inc

• Internal Medicine Physician in Lowell, IN
• Providers in Lowell, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.

Verify at the official NPI Registry.