MOHAMAD ALI NASRALLAH MD/PHD
NPI 1174326136
Student in an Organized Health Care Education/Training Program in Columbus, OH
About Mohamad Ali Nasrallah Md/phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMAD ALI NASRALLAH MD/PHD (NPI 1174326136) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mohamad Ali Nasrallah Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, OH 43210
COLUMBUS, OH 43210
COLUMBUS, OH 43210
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 Mohamad Nasrallah's NPI number?
The NPI number for Mohamad Nasrallah is 1174326136. It was assigned to this individual provider in the NPPES registry on March 27, 2025.
Where is Mohamad Nasrallah located?
Mohamad Nasrallah practices at 395 W 12th Ave Ste 346A, Columbus, OH 43210. The listed phone number is (614) 293-9812.
What is Mohamad Nasrallah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mohamad Nasrallah enrolled in Medicare?
Yes. Mohamad Nasrallah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mohamad Nasrallah was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Mohamad Ali Nasrallah, MD/PHD · NPI 1174326136
Student in an Organized Health Care Education/Training Program provider in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since March 27, 2025.
## Identity
- **NPI:** 1174326136 (Entity type: Individual)
- **Enumerated:** March 27, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 395 W 12TH AVE STE 346A, Columbus, OH 43210-1267
- **Phone:** (614) 293-9812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1174326136) · Data from the CMS NPPES public registry.