IMTIAZ MOHAMED MD
NPI 1396796884
Internal Medicine - Gastroenterology in Hayward, WI

Q: What is Imtiaz Mohamed's NPI number?

The NPI number for Imtiaz Mohamed is 1396796884. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Imtiaz Mohamed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Imtiaz Mohamed was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 12, 2006PECOS EnrolledAccepts Medicare Assignment

11040 N STATE ROAD 77, HAYWARD, WI 54843(715) 934-4321 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Imtiaz Mohamed Md NPPES

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

IMTIAZ MOHAMED MD (NPI 1396796884) is an individual gastroenterology provider in Hayward, Wisconsin, licensed in Minnesota (56386) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lake View Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1396796884

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameIMTIAZ MOHAMEDCredential: MD

Location Address11040 N STATE ROAD 77Hayward, WI 54843-3606

Mailing Address11040 N State Road 77Hayward, WI 54843-3606 · (715) 934-4321

Phone(715) 934-4321

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateMay 12, 2006

Last NPPES UpdateJune 12, 2020

NPPES CertifiedJune 12, 2020

✔ NPI 1396796884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in MN · 56386✔ Licensed in WI · 41063

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

11040 N STATE ROAD 77, Hayward, WI 54843

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Other Identifiers 4

Medicaid1396796884WI

Medicaid1396796884MI

Medicaid1396796884MN

Medicaid32584300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Imtiaz 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.

PECOS PAC ID9739197534

PECOS Enrollment IDI20260505004327

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.

Hospital Affiliations CMS Care Compare 3

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

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521359

Location1615 Maple LaneAshland, WI 54806 · Ashland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

ASHLAND AUDIOLOGY LLC

Clinic/Center