ABDALLAH MOHAMED MD
NPI 1225647738
Internal Medicine in Johnson City, TN
About Abdallah Mohamed Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABDALLAH MOHAMED MD (NPI 1225647738) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Rhode Island (CLP05083) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Abdallah Mohamed Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Abdallah Mohamed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Ridge, TN 37830
- Reassigned Medicare billing, Tennessee enrollment
- 1,085 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
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 Abdallah Mohamed's NPI number?
The NPI number for Abdallah Mohamed is 1225647738. It was assigned to this individual provider in the NPPES registry on July 30, 2020.
Where is Abdallah Mohamed located?
Abdallah Mohamed practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-6111.
What is Abdallah Mohamed's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Abdallah Mohamed enrolled in Medicare?
Yes. Abdallah Mohamed 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 Abdallah Mohamed's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abdallah Mohamed reassigns Medicare benefits to Southeastern Physician Services PC (Oak Ridge, TN). 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 Abdallah Mohamed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Abdallah Mohamed affiliated with any hospitals?
According to CMS data, Abdallah Mohamed is affiliated with Wellmont Holston Valley Medical Center and Johnson City Medical Center.
When was this NPI record last updated?
The NPPES record for Abdallah Mohamed was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Abdallah Mohamed, MD · NPI 1225647738
Internal Medicine physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since July 30, 2020.
## Identity
- **NPI:** 1225647738 (Entity type: Individual)
- **Enumerated:** July 30, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** CLP05083 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N STATE OF FRANKLIN RD, Johnson City, TN 37604-6035
- **Phone:** (423) 431-6111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225647738) · Data from the CMS NPPES public registry.