Iman Mohamed, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301058580 Issued in MI

Practice address

2520 Robert Jones Way
Kalamazoo, MI 49009-1904

Phone

(269) 552-0420

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Hematology/Oncology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
• Beacon Allegan Hospital, Allegan, MI, CCN 231328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Ascension Medical Group Promed

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  Medicare reassignment Care Compare group NPD
• Ascension Borgess Allegan Hospital

  • Multi-Specialty Clinic/Center
  • Allegan, MI
  • NPI 1144531252
  Medicare reassignment NPD
• Ascension Borgess Lee Hospital

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Medicare reassignment NPD
• West Michigan Cancer Center

  • Medical Oncology Physician
  • Kalamazoo, MI
  • NPI 1447261730
  Medicare reassignment NPD
• Ascension Borgess Allegan Hospital

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Medicare reassignment
• Ascension Borgess Allegan Hospital

  • Certified Registered Nurse Anesthetist
  • Allegan, MI
  • NPI 1932364700
  NPD
• Ascension Borgess Allegan Hospital

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925
  NPD
• Ascension Borgess Lee Hospital

  • Hospitalist Physician
  • Dowagiac, MI
  • NPI 1467315499
  NPD
• Ascension Medical Group Promed

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1720009954
  NPD
• Promed Healthcare

  • Rural Health Clinic/Center
  • Plainwell, MI
  • NPI 1487708830
  NPD
• West Michigan Cancer Center

  • Radiation Oncology Physician
  • Kalamazoo, MI
  • NPI 1588778484
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Borgess Allegan Hospital

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Care Compare affiliation
• Ascension Borgess Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1942297270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER STREET",
            "address_2": "SUITE 002",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "fax_number": "269-552-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ROBERT JONES WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091904",
            "telephone_number": "269-552-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Glendale Ave",
            "address_2": "Medicine",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43614",
            "country_code": "US",
            "telephone_number": "419-383-3747",
            "fax_number": "419-383-6372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "IMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301058580",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35077273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135737",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerin Moblo
• Cortney Modelewski, LPC
• Marcia Moerman, ANP
• Michael Scott Moffit, CTRS
• Jillane Moffitt
• Samad Mohammad
• Ahmed Muwafaq Mohammed Ali, DDS
• Christiana Noelle Mohney
• Gretchen Lynn Mohney, MA, ATC, CSCS
• Lyna Mok

• Hematology & Oncology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.

Verify at the official NPI Registry.