AHMED MOHAMED MAHDI NP
NPI 1467935858
Nurse Practitioner - Adult Health in Moreno Valley, CA

Active since September 11, 2018PECOS Enrolled
12730 HEACOCK ST STE 4A, MORENO VALLEY, CA 92553(951) 243-8517 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Apr 16, 2019, Jan 30, 2019 and 3 more (6 updates tracked since 2018).

About Ahmed Mohamed Mahdi Np NPPES

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

AHMED MOHAMED MAHDI NP (NPI 1467935858) is an individual adult health provider in Moreno Valley, California, licensed in California (95009179) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1467935858
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameAHMED MOHAMED MAHDICredential: NP
Location Address12730 HEACOCK ST STE 4AMoreno Valley, CA 92553-3040
Mailing Address3640 Wilshire Blvd Apt 317Los Angeles, CA 90010-2645 · (256) 348-5521
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPI 1467935858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 95009179
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95009179 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95009179 (CA)
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 95009179 (CA)
12730 HEACOCK ST STE 4A, Moreno Valley, CA 92553

Secondary Practice Location 1

Location 1800 S Central Ave Ste 206Glendale, CA 91204-4379 · Phone (818) 240-2233 · Fax (818) 240-2237

Other Identifiers 1

Other95009179CA · California State Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ahmed Mohamed Mahdi Np 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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92553 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $91.88
  • Minimum New Patient Price $59.6
  • Maximum New Patient Price $179.42
  • Average New Patient Copayment $22.97
  • Minimum New Patient Copayment $14.9
  • Maximum New Patient Copayment $44.85

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $104.64
  • Minimum Established Patient Price $19.37
  • Maximum Established Patient Price $146.42
  • Average Established Patient Copayment $26.16
  • Minimum Established Patient Copayment $4.84
  • Maximum Established Patient Copayment $36.6

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
12730 HEACOCK ST STE 4A
MORENO VALLEY, CA 92553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467935858, enumerated as an "individual" on September 11, 2018.

The provider is located at 12730 HEACOCK ST STE 4A MORENO VALLEY, CA 92553 and the phone number is (951) 243-8517.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.