Organization Active NPI

Midland Medical Group, LLC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1952893950
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDLAND MEDICAL GROUP, LLC
Practice address
1000 Georgesville Rd
Columbus, OH 43228
Phone
(614) 428-8100
Fax
(614) 428-8101
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Dr. Mohamed Jama Hashi, MDNPI 1336360056
Title
Owner
Phone
(614) 428-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1000 Georgesville Rd
Columbus, OH 43228

Mailing address

2330 Morse Rd Ste a
Columbus, OH 43229-5804
Phone (614) 428-8101

Other practice location 1

3251 Westerville Rd
Columbus, OH 43224-3751
Phone (614) 428-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190220002014 OH Part B Supplier - Clinic/Group Practice 3870841190 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2158916Midland Medical Group1000 Georgesville Road, Columbus, OH 43228Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory

Locations

1000 Georgesville Rd
Columbus, OH 43228
Phone (614) 274-7771

3251 Westerville Rd
Columbus, OH 43224
Phone (614) 428-8100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1952893950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MORSE RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295804",
            "telephone_number": "614-428-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-428-8100",
            "fax_number": "614-428-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 Westerville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432243751",
            "country_code": "US",
            "telephone_number": "614-428-8100",
            "fax_number": "614-428-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDLAND MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "HASHI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "JAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-428-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.