Individual provider Active NPI

Mohammed M Ahmed, M.D.

  • Family Medicine Physician
  • Catonsville, MD
National Provider Identifier
1851340319
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0044796 Issued in MD
Practice address
4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277
Phone
(410) 869-0100
Fax
(410) 601-7317
NPI assigned
May 10, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0044796 MD Primary

Addresses

Primary practice location

4 W Rolling XRDS Ste 100
Catonsville, MD 21228-6277

Mailing address

10433 Kingsbridge Rd
Ellicott City, MD 21042-5853
Phone (443) 739-7129

Other practice location 1

515 Fairmount Ave
Suite 340
Towson, MD 21286-5466
Phone (410) 769-6269

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mohammed.ahmed.p2@direct.clinicalassociates.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090805000430 MD Practitioner - Family Practice 2860545019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 W Rolling Cross Rd
Catonsville, MD 21228-6280
Phone (410) 368-1370

4 W Rolling Crossroads
Suite 100
Catonsville, MD 21228-6280
Phone (410) 869-0100

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians, Inc Family Medicine CurrentSince May 24, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince May 24, 2021 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Clinical Associates P a Past Accepting new patients

Locations

4 W Rolling Xrds
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100

110 Baughmans Ln
Ste 270
Frederick, MD 21702
Phone (301) 846-0300

515 Fairmount Ave
Towson, MD 21286
Phone (410) 296-5300

515 Fairmount Ave
Ste 340
Towson, MD 21286
Phone (410) 296-5300

515 Fairmount Ave
Ste 400
Towson, MD 21286
Phone (410) 494-1324

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Interoperability endpoints

  • Direct secure messaging: mohammed.ahmed.p2@direct.clinicalassociates.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1851340319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 KINGSBRIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425853",
            "telephone_number": "443-739-7129",
            "fax_number": "410-601-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROLLING XRDS STE 100",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286277",
            "telephone_number": "410-869-0100",
            "fax_number": "410-601-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Fairmount Ave",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212865466",
            "country_code": "US",
            "telephone_number": "410-769-6269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMMED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0044796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammed.ahmed.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "515 Fairmount Ave",
            "address_2": "Suite 340",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.