Individual provider Active NPI

Ahmed Mohamed

  • Vascular Surgery Physician
  • Hudson, FL
National Provider Identifier
1770902843
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
P9229 Issued in TX
Practice address
14100 Fivay Rd
Hudson, FL 34667-7180
Phone
(727) 619-0990
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 79084 AZ
Vascular Surgery Physician 2086S0129X MD495171 PA
Vascular Surgery Physician 2086S0129X P9229 TX Primary

Addresses

Primary practice location

14100 Fivay Rd
Hudson, FL 34667-7180

Mailing address

19186 Blue Pond Dr
Lutz, FL 33558-5629
Phone (832) 633-3368

Other practice location 1

30 Monument Rd Ste 1100
York, PA 17403-5024
Phone (717) 851-6454

Other practice location 2

2270 S Ridgeview Dr
Yuma, AZ 85364-8875
Phone (928) 344-5505

Other names 1

  • N/a N/a Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200818001849 TX Practitioner - Vascular Surgery 9739505066 Reassigns benefits to 1 organization
I20251211000345 AZ Practitioner - Vascular Surgery 9739505066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79084AZMDVascular Surgery Physician
MD495171PAMDVascular Surgery Physician
P9229TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Yuma Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 6, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 6, 2020 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC Vascular Surgery CurrentSince Jan 8, 2024 Accepting new patients

Locations

2270 S Ridgeview Dr
Ste 201
Yuma, AZ 85364
Phone (928) 344-5055

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2270 S Ridgeview Dr
Yuma, AZ 85364
Phone (877) 307-8553

11371 Cortez Blvd
Ste 115
Brooksville, FL 34613
Phone (352) 592-0220

14100 Fivay Rd
Ste 300
Hudson, FL 34667
Phone (727) 372-4417

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

18400 Katy Fwy
Ste 690
Houston, TX 77094
Phone (832) 522-8600

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amohamed32712@directhoustonmethodist.org
  • Direct secure messaging: amohamed469607@reidhealth.direct-ci.com

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1770902843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19186 BLUE POND DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585629",
            "telephone_number": "832-633-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677180",
            "telephone_number": "727-619-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Monument Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035024",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 S Ridgeview Dr",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648875",
            "country_code": "US",
            "telephone_number": "928-344-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AHMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "79084",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD495171",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "P9229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.