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DR. MOHAMED ALI HAMZA M.D., PH.D.
NPI 1427334838
Psychiatry & Neurology - Neurology in Columbus, OH

Active since October 30, 2011PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
500 THOMAS LN, SUITE 2E, COLUMBUS, OH 43214(614) 566-9777(614) 566-5611 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mohamed Ali Hamza M.d., Ph.d. NPPES

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

DR. MOHAMED ALI HAMZA M.D., PH.D. (NPI 1427334838) is an individual neurology provider in Columbus, Ohio, licensed in Ohio (35.120892) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1427334838
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MOHAMED ALI HAMZACredential: M.D., PH.D.
Location Address500 THOMAS LN, SUITE 2EColumbus, OH 43214-3902
Mailing Address5350 Frantz RdDublin, OH 43016-4259
Phone(614) 566-9777
Fax(614) 566-5611
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 30, 2011
Last NPPES UpdateJanuary 5, 2022
✔ NPI 1427334838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OH · 35.120892✔ Licensed in PA · MD442914
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
500 THOMAS LN, Columbus, OH 43214
Open in Google Maps ↗

Other Identifiers 1

Medicaid0082784OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Dr. Mohamed Ali Hamza M.d., Ph.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 ID6709052731
PECOS Enrollment IDI20131028001445
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
139 services65 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.
55 services29 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.
45 services18 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.
29 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
4 suppliers42 claims8,830 services$0.33 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers26 claims26 services$18.91 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims21 services$12.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KEVIN LUNG-WONG BANKS M.D.
Urology
500 THOMAS LN, SUITE 3G
COLUMBUS, OH 43214
Franklin County (614) 788-2870
LINDSEY BYRNE MS, LGC
Genetic Counselor, MS
500 THOMAS LN
COLUMBUS, OH 43214
Franklin County (614) 566-4097
DR. GREGORY J LOWE M.D.
Urology
500 THOMAS LN, SUITE 3G
COLUMBUS, OH 43214
Franklin County (614) 788-2870
DR. NATALIE BECKMAN JONES M.D.
Surgery
500 THOMAS LN, SUITE 2B
COLUMBUS, OH 43214
Franklin County (614) 566-2280
DR. RAMY H FOUAD M.D
Surgery (Surgical Oncology)
500 THOMAS LN, SUITE 2C
COLUMBUS, OH 43214
Franklin County (614) 566-2370
DARYL ANN COTTRELL MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 THOMAS LN, STE 2C
COLUMBUS, OH 43214
Franklin County (614) 566-5456
MELISSA ANN CAULFIELD CNP
Nurse Practitioner (Acute Care)
500 THOMAS LN
COLUMBUS, OH 43214
Franklin County (614) 566-5000
NEAL B SCOTT
Internal Medicine (Hematology & Oncology)
500 THOMAS LN
COLUMBUS, OH 43214
Franklin County (614) 566-2500

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 Hamza's NPI number?

The NPI number for Mohamed Hamza is 1427334838. It was assigned to this individual provider in the NPPES registry on October 30, 2011.

Where is Mohamed Hamza located?

Mohamed Hamza practices at 500 Thomas Ln Suite 2E, Columbus, OH 43214. The listed phone number is (614) 566-9777.

What is Mohamed Hamza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mohamed Hamza enrolled in Medicare?

Yes. Mohamed Hamza 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.

What insurance does Mohamed Hamza accept?

Health plans from CareSource and MedMutual list Mohamed Hamza 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 Hamza affiliated with any hospitals?

According to CMS data, Mohamed Hamza is affiliated with Riverside Methodist Hospital, Southern Ohio Medical Center, Grant Medical Center, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Hamza was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.