Active NPI
Mazen Mohandes
- Student in an Organized Health Care Education/Training Program
- Dayton, OH
National Provider Identifier
1962342154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Internal Medicine Clinic, 161 Wyoming Street, Suite 100
Dayton, OH 45409 - Phone
- (937) 279-8600
- NPI assigned
- Mar 30, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Internal Medicine Clinic, 161 Wyoming Street, Suite 100
Dayton, OH 45409
Mailing address
Internal Medicine Clinic, 161 Wyoming Street, Suite 100
Dayton, OH 45409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615003991 | OH | Order and Referring Only - Internal Medicine | 7618449224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1962342154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERNAL MEDICINE CLINIC, 161 WYOMING STREET, SUITE 100",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INTERNAL MEDICINE CLINIC, 161 WYOMING STREET, SUITE 100",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-279-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHANDES",
"first_name": "MAZEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.