Fazil A Mohamed II, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

201001263 Issued in ND

Practice address

1721 Allens LN
Suite 102
Wilmington, NC 28403-3661

Phone

(910) 239-5902

Fax

(910) 239-5908

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4400/brand/1/csg/1/fhir/r4
• Direct secure messaging: fmohamed1253936@direct.novanthealth.org
• Direct secure messaging: fazil.mohamed.1@4400.direct.athenahealth.com

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.

• Coastal Womens Care PC

  • Gynecology Physician
  • Wilmington, NC
  • NPI 1558628883
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1841263852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033661",
            "telephone_number": "910-239-5902",
            "fax_number": "910-239-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033661",
            "telephone_number": "910-239-5902",
            "fax_number": "910-239-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "FAZIL",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ND",
            "license": "201001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266429",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah L Mobley
• Thomas Barnett Mobley III, MD
• Bruce Elliott Mock Jr., PHD, AUD
• Michael J. Moeller, M.D.
• Lauryn Nicole Moffa, MS, NCC, LCMHCA
• Sarah Mojazza
• Mojo Sportclinic, LLC
• Christian William Molnar, LCSW
• Momentum PT & Wellness LTD
• Momentum Recovery LLC

• Obstetrics & Gynecology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.

Verify at the official NPI Registry.