Active NPI
Mohamed Humad, MD
- Family Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-46696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200221000402 | IA | Practitioner - Emergency Medicine | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-46696 | IA | MD | Family Medicine Physician |
| TP156 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Waverly Health Center | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | Accepting new patients | |
| Avera Holy Family | Current | Accepting new patients | |
| Des Moines River Physicians, LLC | Current | Accepting new patients | |
| Belmond Community Hospital | Family Medicine | Current | 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 | Current | Accepting new patients | |
| Boone County Hospital | Current | Accepting new patients | |
| Belmond Community Hospital | Current | Accepting new patients | |
| Boone County Hospital | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Current | Accepting new patients | |
| Des Moines River Physicians, LLC | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | 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 | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Concord Company of Tennessee PLLC | Current | Accepting new patients | |
| Iowa Emergency Physicians LLP | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Current | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- mhumad3925856@direct.trinity-health.org
- 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.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.