Mohammed M Ahmed, M.D.
Individual provider Active NPI Family Medicine Physician · Catonsville, MD
NPI 1851340319 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1851340319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0044796 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifebridge Community Physicians Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090805000430 | MD | Practitioner - Family Practice | 2860545019 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Family Medicine | Current |
Accepting new patients |
| Lifebridge Community Physicians Inc | Current |
Accepting new patients | |
| Lifebridge Community Physicians, Inc | Past | Accepting new patients | |
| Clinical Associates P a | Past | Accepting new patients | |
| Frederick Health Hospital Inc | 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 400
Towson, MD 21286
Phone (410) 494-1324
515 Fairmount Ave
Ste 340
Towson, MD 21286
Phone (410) 296-5300
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Interoperability endpoints
- mohammed.ahmed.p2@direct.clinicalassociates.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0044796 | MD | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851340319 | Medicaid | MD | |
| 651221600 | Medicaid | MD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mohammed.ahmed.p2@direct.clinicalassociates.nextgenshare.com |
Other providers in Catonsville, MD
- Aga Family Dentistry LLC
- Agape Above All
- Kelechi Egwu Agbi
- Joy Chizobam Ahanonu
- Mohamed S Ahmed
- Navneet K Ahuja
- Aijaz Anesthesia LLC
- Mohammed M. Aijaz
- Aims Clinic
- Aimwell Mental Health Services LLC
All providers in Catonsville, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.