Active NPI
Mohammad Q Mohyuddin, AA
- Anesthesiologist Assistant
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA1055
- Practice address
- 2616 Antietam TRL
Tallahassee, FL 32312-4841 - Phone
- (850) 241-5868
- NPI assigned
- Aug 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | PENDING | MO | |
| Anesthesiologist Assistant | 367H00000X | AA1055 | FL | Primary |
Addresses
Primary practice location
2616 Antietam TRL
Tallahassee, FL 32312-4841
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (954) 939-5000
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
- HCA Florida Capital Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA1055 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Anesthesiology Associates, Inc. | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Past | Accepting new patients |
Locations
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1770257883
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1831171990
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1760212989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CONSORT DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114439",
"telephone_number": "636-386-9224",
"fax_number": "636-386-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 ANTIETAM TRL",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323124841",
"telephone_number": "850-241-5868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHYUDDIN",
"first_name": "MOHAMMAD",
"middle_name": "Q",
"name_prefix": "Mr.",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-02",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": "PENDING",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA1055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.