Individual provider Active NPI

Mohammad A Aslam, M.D.

  • Nephrology Physician
  • Warner Robins, GA
National Provider Identifier
1992745137
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
050597 Issued in GA
Practice address
105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956
Phone
(478) 333-3612
Fax
(478) 333-3631
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 050597 GA Primary
Internal Medicine Physician 207R00000X 050597 GA

Addresses

Primary practice location

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956

Mailing address

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956
Phone (478) 333-3612

Other identifiers 4

IdentifierTypeStateIssuer
000968613QMedicaidGA
000968613OMedicaidGA
000968613ZMedicaidGA
000968613PMedicaidGA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20031216000369 GA Practitioner - NephrologyPractitioner - Internal Medicine 4789581943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8035
Phone (478) 333-3612

Hospital & facility affiliations

  • Warner Robins Dialysis Center Dialysis facility, Warner Robins, GA, CCN 112895
  • Fort Valley Dialysis Center, LLC Dialysis facility, Fort Valley, GA, CCN 112732
  • DaVita Dialysis Center of Middle Georgia-Warner Robins Dialysis facility, Warner Robins, GA, CCN 112620
  • DaVita Perry Dialysis Center Dialysis facility, Perry, GA, CCN 112683
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension and Kidney Associates of Middle Georgia, LLC Nephrology CurrentSince Sep 1, 2007 Accepting new patients
Primary Healthcare Center, P.C. Nephrology Past Accepting new patients

Locations

105 Tommy Stalnaker Dr
Ste 1
Warner Robins, GA 31088
Phone (478) 333-3612

105 Tommy Stalnaker Dr
Warner Robins, GA 31088
Phone (478) 333-3612

Interoperability endpoints

  • Direct secure messaging: mohammad.aslam@hk.eclinicaldirectplus.com

Organizations & group practices 2

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 7

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1992745137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888956",
            "telephone_number": "478-333-3612",
            "fax_number": "478-333-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888956",
            "telephone_number": "478-333-3612",
            "fax_number": "478-333-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLAM",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "050597",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000968613Q",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000968613O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000968613Z",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000968613P",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.