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: August 09, 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 92553 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahmed Mahdi's NPI number?

The NPI number for Ahmed Mahdi is 1467935858. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Ahmed Mahdi located?

Ahmed Mahdi practices at 12730 Heacock St Ste 4A, Moreno Valley, CA 92553. The listed phone number is (951) 243-8517.

What is Ahmed Mahdi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ahmed Mahdi enrolled in Medicare?

Yes. Ahmed Mahdi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ahmed Mahdi was last updated on March 7, 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.