Ismael S Mohamed Zain

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

12101 Dessau Rd Apt 1105
Austin, TX 78754-2086

Phone

(201) 982-3404

NPI assigned

Jun 10, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730618976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 DESSAU RD APT 1105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542086",
            "telephone_number": "201-982-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 DESSAU RD APT 1105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542086",
            "telephone_number": "201-982-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED ZAIN",
        "first_name": "ISMAEL",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Moffett, LCSW
• Kiersen Mogab
• Saiteja Lakshmi Mogasala, MD
• Amy Mogensen
• Michael Hooman Moghimi, M.D.
• Gabrielle Kathleen Mohamed, MS, RD
• Khan Omar Mohammad, MD
• Maryanne Mohammad
• Ashen Mohammed, PT, DPT
• Yasmin Mohamoud

• Contractor in Austin, TX
• Providers in Austin, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.