MOHAMED A EFFAT M.D.
NPI 1164487005
Internal Medicine - Interventional Cardiology in Cincinnati, OH

Q: What is Mohamed Effat's NPI number?

The NPI number for Mohamed Effat is 1164487005. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Mohamed Effat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Mohamed Effat was last updated on June 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

78.78/100

CMS Quality Rating

234 GOODMAN ST, CINCINNATI, OH 45219(513) 475-8521(513) 475-7480 Get Directions Write a Review

NPPES record last updated: June 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mohamed A Effat M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMED A EFFAT M.D. (NPI 1164487005) is an individual interventional cardiology provider in Cincinnati, Ohio, licensed in Ohio (35 087097) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1164487005

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMOHAMED A EFFATCredential: M.D.

Location Address234 GOODMAN STCincinnati, OH 45219-2364

Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 245-3104 · Fax (513) 585-5511

Phone(513) 475-8521

Fax(513) 475-7480

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateApril 20, 2006

Last NPPES UpdateJune 21, 2017

✔ NPI 1164487005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in OH · 35 087097

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35-087097 (OH)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35-087097 (OH)

234 GOODMAN ST, Cincinnati, OH 45219

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Other Identifiers 6

Medicaid200542610IN

Medicaid64121635KY

Medicare PINEF4174071OH

Medicare UPING84385

Medicaid2611294OH

OtherP00297328OH · Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamed A Effat M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103846068

PECOS Enrollment IDI20051207000065

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mohamed Effat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Cincinnati Physicians Company, LLC

Same address

Family Medicine

3188 BELLEVUE AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
2,038 clinicians in this Medicare group

NPI 1801840434 (513) 584-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

347 services296 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

213 services213 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

121 services83 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

60 services60 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

56 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services41 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services35 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

38 services38 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

38 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services37 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

36 services36 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

31 services31 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

20 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360003

Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360236

Location3000 Hospital DriveBatavia, OH 45103 · Clermont County

Emergency services

West Chester Hospital

Acute Care Hospitals · West Chester, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360354

Location7700 University DriveWest Chester, OH 45069 · Butler County

Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number361326

Location230 Medical Center DriveSeaman, OH 45679 · Adams County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.42

Promoting Interoperability

100

Improvement Activities

Cost

58.86

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER TOPALA MD

Anesthesiology

234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219

Hamilton County (513) 584-1000

MELISSA T WESLEY CRNA

Nurse Anesthetist, Certified Registered

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-4194

DR. SAURABH CHANDRA MD

Internal Medicine (Critical Care Medicine)

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-1000

JOSEPH D PANDISCIA PA-C

Physician Assistant

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 475-8690

RACHEL BEAUPRE

Student in an Organized Health Care Education/Training Program

234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219

Hamilton County (513) 584-1387

KATIE DEAN

Nurse Anesthetist, Certified Registered

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-4194

MICHELLE CHAPMAN

Anesthesiology

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-6356

KAYLA BERTKE

Pharmacist

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 584-3468

DANIEL VERN MAUGHAN RN

Nurse Anesthetist, Certified Registered

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 584-1000

CHRISTINA ANNE CHEN DDS

Dentist

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 584-6660

DR. ABHIJEET SURYADEVARA MD

Student in an Organized Health Care Education/Training Program

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-7651

NANCY VENTURA CNS

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 584-8577

HILJA REBECCA RUEGG MD

Psychiatry & Neurology (Psychiatry)

234 GOODMAN ST, PSYCHIATRY
CINCINNATI, OH 45219

Hamilton County (513) 558-7700

CHARLENE WATSON CRNA

Nurse Anesthetist, Certified Registered

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-4194

UC HEALTH

Clinic/Center (Primary Care)

234 GOODMAN ST, ML 665X
CINCINNATI, OH 45219

Hamilton County (513) 584-7425

JAMES MATTHEW GRAU

Nurse Anesthetist, Certified Registered

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-4194

ANGEL JOSHUA PAGAN MD

Anesthesiology

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-6356

JOHN TODD DMD

Student in an Organized Health Care Education/Training Program

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 584-2586

DOAN VU MD

Radiology (Vascular & Interventional Radiology)

234 GOODMAN ST, CENTRAL CREDENTIALING ML 806
CINCINNATI, OH 45219

Hamilton County (513) 585-5508

LORI ANN STOLZ M.D.

Emergency Medicine

234 GOODMAN ST
CINCINNATI, OH 45219

Hamilton County (513) 558-5281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamed Effat's NPI number?

The NPI number for Mohamed Effat is 1164487005. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mohamed Effat located?

Mohamed Effat practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 475-8521.

What is Mohamed Effat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mohamed Effat enrolled in Medicare?

Yes. Mohamed Effat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mohamed Effat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Effat reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohamed Effat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Effat accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Mohamed Effat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mohamed Effat affiliated with any hospitals?

According to CMS data, Mohamed Effat is affiliated with University Of Cincinnati Medical Center, LLC, Mercy Health - Clermont Hospital, West Chester Hospital and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamed Effat was last updated on June 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.