Active NPI
Ghulam Mohi-Ud-Din, M.D.
- Gastroenterology Physician
- Riverdale, MD
National Provider Identifier
1821142514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D0022549
- Practice address
- 6510 Kenilworth Ave
Suite 2600
Riverdale, MD 20737-1339 - Phone
- (301) 277-6565
- Fax
- (301) 699-3956
- NPI assigned
- Jan 22, 2007
- Last updated
- Jan 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D0022549 | MD | Primary |
Addresses
Primary practice location
6510 Kenilworth Ave
Suite 2600
Riverdale, MD 20737-1339
Mailing address
6510 Kenilworth Avenue
Suite 2600
Riverdale, MD 20737-1339
Phone (301) 277-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 796081600 | Medicaid | MD |
Other names 1
- Dr. G. M. Din
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0022549 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Riverside Medical Associates PA | Gastroenterology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba None
- Endocrinology, Diabetes & Metabolism Physician
- Riverdale, MD
- NPI 1730132648
Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1821142514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 KENILWORTH AVENUE",
"address_2": "SUITE 2600",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371339",
"telephone_number": "301-277-6565",
"fax_number": "301-699-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 KENILWORTH AVE",
"address_2": "SUITE 2600",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371339",
"telephone_number": "301-277-6565",
"fax_number": "301-699-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHI-UD-DIN",
"first_name": "GHULAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D0022549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "796081600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "G.",
"last_name": "DIN",
"middle_name": "M.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Riverdale, MD
- Unknown Mercy Efosi Meombe
- Mercyland Healthcare Services, Inc
- Meridian Health and Behavioral Services LLC
- Meridian Health and Behavioral Services LLC
- Metropolitan Physicians Group LLC
- Emmaculate Mokito
- Janet Asong Morfaw
- Mosaddegh Physical Therapy Inc (Physical Therapy & Sports Medicine Center)
- David Lee Moses
- Adelle Mounjongui
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.