Individual provider Active NPI

Mohammad Amjad, MD

  • Internal Medicine Physician
  • Mount Hope, WV
National Provider Identifier
1770536583
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21511 Issued in WV
Practice address
105 Northern Way
Mount Hope, WV 25880-8830
Phone
(304) 255-2121
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21511 WV Primary

Addresses

Primary practice location

105 Northern Way
Mount Hope, WV 25880-8830

Mailing address

105 Northern Way
Mount Hope, WV 25880-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060829000482 WV Practitioner - Internal MedicinePractitioner - Family Practice 3577567825 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summers Emergency Physicians LLC CurrentSince Jul 5, 2014 Accepting new patients
Richbend Emergency Physicians, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jan 26, 2014 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jan 26, 2014 Accepting new patients
Freedom Mobility Center, Inc. PastSince Mar 16, 2021 Accepting new patients

Locations

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770536583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NORTHERN WAY",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258808830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTHERN WAY",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258808830",
            "telephone_number": "304-255-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Hope, WV

Sources for this page

Verify at the official NPI Registry.