MOHAMMAD K HAMIDI MD
NPI 1245736719
Pediatrics in Stockton, CA

Q: What is Mohammad Hamidi's NPI number?

The NPI number for Mohammad Hamidi is 1245736719. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Mohammad Hamidi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Hamidi was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 03, 2018PECOS Enrolled

2505 W HAMMER LN, STOCKTON, CA 95209(279) 203-6793 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mohammad K Hamidi Md NPPES

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

MOHAMMAD K HAMIDI MD (NPI 1245736719) is an individual pediatrics provider in Stockton, California, licensed in California (A173890) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245736719

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMOHAMMAD K HAMIDICredential: MD

Location Address2505 W HAMMER LNStockton, CA 95209-2839

Mailing Address6098 Kingsmill TerDublin, CA 94568-7778

Phone(279) 203-6793

Sole ProprietorNo

Enumeration DateApril 3, 2018

Last NPPES UpdateSeptember 1, 2021

NPPES CertifiedSeptember 1, 2021

✔ NPI 1245736719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A173890

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2505 W HAMMER LN, Stockton, CA 95209

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad K Hamidi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mohammad Hamidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation

33 mi

Multi-Specialty

600 COFFEE RD
Modesto, CA 95355

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1669846986 (209) 524-1211

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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.

JENNIFER JOSE

Internal Medicine