Individual provider Active NPI

Jawaad Mohammed Mohiuddin, M.D.

  • Diagnostic Radiology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1861667990
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT190838 Issued in PA
Practice address
1830 Foothill Dr
Huntingdon Valley, PA 19006-7920
Phone
(267) 250-7260
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT190838 PA Primary

Addresses

Primary practice location

1830 Foothill Dr
Huntingdon Valley, PA 19006-7920

Mailing address

1830 Foothill Dr
Huntingdon Valley, PA 19006-7920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20140205000909 DE Practitioner - Diagnostic Radiology 7012146400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians

Practice addresses (Care Compare)

2055 Limestone Rd
Wilmington, DE 19808-5536
Phone (877) 990-2121

24 Omega Dr
Newark, DE 19713-6020
Phone (302) 738-9100

3206 Concord Pike
Wilmington, DE 19803-5015
Phone (302) 654-5300

3401 Brandywine Pkwy
Wilmington, DE 19803-1554
Phone (302) 533-2160

3559 Silverside Rd
Suite a
Wilmington, DE 19810-4938
Phone (877) 990-1311

40 Polly Drummond Hill Rd
BLDG 4
Newark, DE 19711-5703
Phone (302) 737-5990

644 S Queen St
Suite 104
Dover, DE 19904-3543
Phone (877) 990-2121

710 S Queen St
Delaware Imaging Network
Dover, DE 19904-3567
Phone (302) 734-9888

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190838PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Dec 18, 2017 Accepting new patients
Abby Medical, LLC CurrentSince Aug 4, 2020 Accepting new patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology Past Accepting new patients

Locations

6L Omega Dr
Newark, DE 19713
Phone (302) 368-8150

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

24J Omega Dr
Newark, DE 19713
Phone (302) 737-4119

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

3206 Concord Pike
Wilmington, DE 19803
Phone (302) 654-5300

1020 N Union St
Wilmington, DE 19805
Phone (302) 427-9855

3105 Limestone Rd
Ste 106
Wilmington, DE 19808
Phone (302) 995-2037

29493 Network Pl
Chicago, IL 60673

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1861667990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 FOOTHILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 FOOTHILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067920",
            "telephone_number": "267-250-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "JAWAAD",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT190838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.