Active NPI
Ahmed Hatem Mohamed
- Cardiovascular Disease Physician
- Wichita, KS
National Provider Identifier
1720501588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 04-49547
- Practice address
- 3535 N Webb Rd
Wichita, KS 67226-8127 - Phone
- (316) 686-5300
- Fax
- (316) 651-2660
- NPI assigned
- Jul 24, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 04-49547 | KS | |
| Internal Medicine Physician | 207R00000X | 04-49547 | KS | |
| Cardiovascular Disease Physician | 207RC0000X | 04-49547 | KS | Primary |
Addresses
Primary practice location
3535 N Webb Rd
Wichita, KS 67226-8127
Mailing address
3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723004523 | KS | Practitioner - Cardiovascular Disease (Cardiology) | 2769727049 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Cardiology, LLC | Internal Medicine | Current | Accepting new patients |
| Heartland Cardiology, LLC | Current | Accepting new patients | |
| Heartland Cardiology, PA | Internal Medicine | Past | Accepting new patients |
Locations
1719 E Cambridge St
Ste 101
Derby, KS 67037
Phone (316) 686-5300
1525 N Main St
Newton, KS 67114
Phone (316) 686-5300
9000 W Central Ave
Wichita, KS 67212
Phone (316) 686-5300
3535 N Webb Rd
Wichita, KS 67226
Phone (316) 260-4491
Interoperability endpoints
- ahmed.mohamed@ushv.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/GCHGAA
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.
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1134503840
Internal Medicine, KS
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1861458580
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heartland Cardiology, LLC
Practice addresses (Care Compare)
3535 N Webb Rd
Wichita, KS 67226-8127
Phone (316) 686-5300
Hospital & facility affiliations
- Wesley Medical Center
- Kansas Medical Center LLC
- William Newton Hospital
- NMC Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.87 of 100
- Quality
- 77.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1720501588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268127",
"telephone_number": "316-686-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268127",
"telephone_number": "316-686-5300",
"fax_number": "316-651-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "AHMED",
"middle_name": "HATEM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-24",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KS",
"license": "04-49547",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-49547",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KS",
"license": "04-49547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.