Mohammad Athar, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Ridgeland, MS
NPI 1720165210 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1720165210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 10936 (MS)
- Practice address
- 730 Ridgewood Rd
Ridgeland, MS 39157-4426 - Phone
- (601) 206-5605
- Fax
- (601) 206-5606
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040909001178 | MS | Practitioner - Diagnostic Radiology | 5496721433 | Practice locations: Ridgeland, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Ultrasound Imaging Inc. | Current |
Accepting new patients | |
| Ridgeland Diagnostic Center | Current |
Accepting new patients | |
| Scott Medical Imaging | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| North Madison Physician Billing | Past | Accepting new patients | |
| Newton Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 10936 | MS | Yes |
Addresses
Primary practice location
730 Ridgewood Rd
Ridgeland, MS 39157-4426
Mailing address
125 Bellingham Dr
Madison, MS 39110-8525
Phone (601) 206-5605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000012297 | Medicaid | MS |
Other providers in Ridgeland, MS
- Ruby Joyce Aron
- Mallory L Ashe
- Laura Ashley
- Assisting Angels, LLC
- Associated Dental of Ridgeland, PLLC
- Chad Wesley Atkins
- Alisha Branley Atwood
- Rachel Divine Atwood
- Autumn Tamor
- Jonathan Louis Baggett
All providers in Ridgeland, MS · Diagnostic Radiology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.