Active NPI
Mohammad Awad Jaber, M.D.
- Nephrology Physician
- Gulfport, MS
National Provider Identifier
1881216216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 36545
- Practice address
- 4300 West Railroad St
Suite B
Gulfport, MS 39501-2568 - Phone
- (228) 863-7393
- Fax
- (228) 864-0546
- NPI assigned
- May 7, 2020
- Reactivated
- Feb 11, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301512942 | MI | |
| Internal Medicine Physician | 207R00000X | 4301512942 | MI | |
| Nephrology Physician | 207RN0300X | 36545 | MS | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4300 West Railroad St
Suite B
Gulfport, MS 39501-2568
Mailing address
4300 West Railroad St
Suite B
Gulfport, MS 39501-2568
Phone (228) 863-7393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19141 Greenfield Rd
Detroit, MI 48235-6007
Phone (313) 960-6605
4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-5705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301512942 | MI | MD | Internal Medicine Physician |
| 36545 | MS | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephro-Care MD PLC | Multi-Specialty | Current | Accepting new patients |
| South Mississippi Nephrology, PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
19141 Greenfield Rd
Detroit, MI 48235
Phone (313) 835-8500
4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705
4300 W Railroad St
#B
Gulfport, MS 39501
Phone (228) 864-0854
Organizations & group practices 2
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.
Hospital & facility affiliations 63
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1881216216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 WEST RAILROAD ST",
"address_2": "SUITE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012568",
"telephone_number": "228-863-7393",
"fax_number": "228-864-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 WEST RAILROAD ST",
"address_2": "SUITE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012568",
"telephone_number": "228-863-7393",
"fax_number": "228-864-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABER",
"first_name": "MOHAMMAD",
"middle_name": "AWAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-07",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"deactivation_date": "2022-01-11",
"reactivation_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301512942",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301512942",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "36545",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.