Active NPI
Mohamed Gad Hassan Ahmed, MD
- Hospitalist Physician
- Richland, WA
National Provider Identifier
1750339727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD00046318
- Practice address
- 888 Swift Blvd.
Richland, WA 99352 - Phone
- (509) 946-4611
- Fax
- (509) 942-3115
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Internal Medicine
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26927 | OR | MD | Internal Medicine Physician |
| MD00046318 | WA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Internal Medicine | Past | Accepting new patients |
| Mid-Columbia Medical Center | Past | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Kadlec Regional Medical Center | Internal Medicine | Past | Accepting new patients |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD26927 | OR | |
| Internal Medicine Physician | 207R00000X | MD00046318 | WA | |
| Hospitalist Physician | 208M00000X | MD00046318 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
888 Swift Blvd.
Richland, WA 99352
Mailing address
560 Gage Blvd
Suite 203
Richland, WA 99352-8650
Phone (509) 942-3627
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750339727 | Medicaid | WA | |
| 025904 | Other | WA | KRMC L&I GROUP # |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2020.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1750339727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 GAGE BLVD",
"address_2": "SUITE 203",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528650",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD.",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-4611",
"fax_number": "509-942-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MOHAMED",
"middle_name": "GAD HASSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD26927",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00046318",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00046318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750339727",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KRMC L&I GROUP #",
"identifier": "025904",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.