Individual provider Active NPI

Sohail Imran Mohammad

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1972737724
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD466208 Issued in PA
Practice address
8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone
(215) 248-8117
NPI assigned
May 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 63331 MN
Psychiatry Physician 2084P0800X MD466208 PA Primary

Addresses

Primary practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 707-3411

Other practice location 1

1901 N DuPont Hwy
Springer Building, Department of Psychiatry, Room: 215
New Castle, DE 19720-1100
Phone (302) 255-2703

Other practice location 2

200 1st St SW
Rochester, MN 55905
Phone (507) 284-2511

Other names 1

  • Dr. Sohail Imran Mohammad Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20200409001947 NJ Practitioner - Psychiatry 7517253446 Reassigns benefits to 3 organizations
I20201217002023 PA Practitioner - Psychiatry 7517253446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians
Princeton House Provider Group LLCGroup PAC ID 0244540540, 45 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103

8811 Germantown Ave
Philadelphia, PA 19118-2718
Phone (215) 707-2098

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

905 Herrontown Rd
Princeton, NJ 08540-1901
Phone (609) 497-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63331MNMDPsychosomatic Medicine Physician
MD466208PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Carrier Behavioral Health Inc CurrentSince Oct 4, 2021 Accepting new patients
Princeton House Provider Group LLC Psychiatry CurrentSince Dec 30, 2024 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Sep 30, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Dec 26, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Sep 30, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Dec 26, 2019 Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation PastSince Dec 30, 2024 Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

1460 Livingston Ave
Bldg 100
North Brunswick, NJ 08902
Phone (732) 729-3600

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1972737724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "215-248-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N DuPont Hwy",
            "address_2": "Springer Building, Department of Psychiatry, Room: 215",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197201100",
            "country_code": "US",
            "telephone_number": "302-255-2703",
            "fax_number": "302-255-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "55905",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "SOHAIL",
        "middle_name": "IMRAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MN",
            "license": "63331",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD466208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOHAIL",
            "last_name": "MOHAMMAD",
            "middle_name": "IMRAN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.