Individual provider Active NPI

Mohamed Humad, MD

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1902326499
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-46696 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 643-2682
Fax
(515) 643-5802
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11044 IA
Family Medicine Physician 207Q00000X MD-46696 IA Primary

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2682

Other practice location 1

6601 SW 9th St
Des Moines, IA 50315-6138
Phone (515) 643-9400

Other practice location 2

1350 Des Moines St Ste 110
Des Moines, IA 50309-5507
Phone (515) 643-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200221000402 IA Practitioner - Emergency MedicinePractitioner - Family Practice 0648549501 Reassigns benefits to 16 organizations
I20240622000504 KY Practitioner - Family Practice 0648549501 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-46696IAMDFamily Medicine Physician
TP156KYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville Current Accepting new patients
Waverly Health Center Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jan 1, 2023 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Sep 16, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince May 21, 2024 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jan 1, 2026 Accepting new patients
Avera Holy Family Current Accepting new patients
Des Moines River Physicians, LLC CurrentSince Feb 5, 2024 Accepting new patients
Belmond Community Hospital Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Pocahontas Community Hospital Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Pocahontas Community Hospital CurrentSince Feb 18, 2020 Accepting new patients
Boone County Hospital CurrentSince Apr 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Jan 1, 2026 Accepting new patients
Boone County Hospital Current Accepting new patients
Iowa Emergency Physicians LLP CurrentSince Mar 13, 2023 Accepting new patients
Concord Medical Group of Kentucky PLLC CurrentSince Nov 9, 2024 Accepting new patients
Des Moines River Physicians, LLC Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jan 1, 2023 Accepting new patients
Franklin General Hospital Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Boone County Hospital Current Accepting new patients
Mercy Medical Center-Centerville CurrentSince Sep 16, 2024 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 21, 2024 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince Nov 8, 2024 Accepting new patients
Iowa Emergency Physicians LLP Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jan 1, 2026 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mhumad3925856@direct.trinity-health.org
  • Direct secure messaging: mhumad714706@direct.unitypoint.org

Organizations & group practices 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1902326499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2682",
            "fax_number": "515-643-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2682",
            "fax_number": "515-643-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503156138",
            "country_code": "US",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Des Moines St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503095507",
            "country_code": "US",
            "telephone_number": "515-643-0833",
            "fax_number": "515-643-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMAD",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-46696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.