Individual provider Active NPI

Ahmad Mohammadieh, M.D.

  • Emergency Medicine Physician
  • Lima, OH
National Provider Identifier
1710349543
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.143562 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 227-3361
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301509387 MI
Emergency Medicine Physician 207P00000X ME134693 FL
Emergency Medicine Physician 207P00000X 35.143562 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000

Other practice location 1

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000

Other practice location 2

36555 26 Mile Rd Ste 100
Lenox, MI 48048-3185
Phone (947) 523-4010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amohammadieh6391926@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190610001631 FL Practitioner - Family Practice 4183957921 Reassigns benefits to 1 organization
I20230731003365 MI Practitioner - Emergency MedicinePractitioner - Family Practice 4183957921 Reassigns benefits to 3 organizations
I20231005001778 IA Practitioner - Emergency MedicinePractitioner - Family Practice 4183957921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians
Emergency Professionals of Michigan PCGroup PAC ID 3274767371, 49 clinicians
Emurgent Care Clinic PLLCGroup PAC ID 6406372564, 2 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5360

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7125

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

8030 N Middlebelt Rd
Westland, MI 48185-1808
Phone (313) 406-4382

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.39 of 100Reported as group
Quality
92.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
82.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134693FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emurgent Care Clinic PLLC CurrentSince Jun 27, 2024 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jul 1, 2023 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Woodbury Emergency Group, PC Emergency Medicine CurrentSince Sep 4, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

8030 N Middlebelt Rd
Westland, MI 48185
Phone (313) 406-4382

Interoperability endpoints

  • Direct secure messaging: amohammadieh6391926@direct.beaumont.edu
  • Direct secure messaging: amohammadieh1460833@epic00.shdirect.org

Organizations & group practices 6

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 1

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1710349543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-639-2000",
            "fax_number": "904-639-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-227-3361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-639-2000",
            "fax_number": "904-639-2015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36555 26 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenox",
            "state": "MI",
            "postal_code": "480483185",
            "country_code": "US",
            "telephone_number": "947-523-4010",
            "fax_number": "947-523-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMADIEH",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301509387",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME134693",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.143562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amohammadieh6391926@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "36555 26 Mile Rd Ste 100",
            "city": "Lenox",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480483185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.