Active NPI
Mohammed Hussein Al-Wadei, MPH., PHD., MD.
- Family Medicine Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29882
- Practice address
- 7736 Airways Blvd
Southaven, MS 38671-5306 - Phone
- (662) 772-5222
- Fax
- (662) 772-5957
- NPI assigned
- May 2, 2019
- Last updated
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 0000064152 | TN | |
| Family Medicine Physician | 207Q00000X | 64152 | TN | |
| Family Medicine Physician | 207Q00000X | 29882 | MS | Primary |
Addresses
Primary practice location
7736 Airways Blvd
Southaven, MS 38671-5306
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (662) 772-5222
Other practice location 2
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (901) 448-5364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Baptist Blvd
Columbus, MS 39705-2006
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
363 Southcrest Cir
Southaven, MS 38671-4737
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
PO Box
Suite 405827
Atlanta, GA 30384-5827
Hospital & facility affiliations
- Baptist Home Care and Hospice North Mississippi
- Vitalcaring Group
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital
- Methodist Healthcare - Olive Branch Hospital
- Baptist Memorial Hospital Union County
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000064152 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
363 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (662) 772-5222
7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606
Interoperability endpoints
- malwadei539055@direct.bmhcc.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Family Medicine, MS
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
dba Baptist Home Care & Hospice - North Mississippi
- Home Health Agency
- Batesville, MS
- NPI 1275068959
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1760047906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7736 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715306",
"telephone_number": "662-772-5222",
"fax_number": "662-772-5957"
}
],
"practiceLocations": [
{
"address_1": "8040 Wolf River Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381773",
"country_code": "US",
"telephone_number": "662-772-5222",
"fax_number": "662-772-5957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 Madison Ave Ste 447",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381033438",
"country_code": "US",
"telephone_number": "901-448-5364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-WADEI",
"first_name": "MOHAMMED",
"middle_name": "HUSSEIN",
"name_prefix": "Dr.",
"credential": "MPH., PHD., MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "0000064152",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "64152",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "29882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.