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MOHAMAD K DOLEH M.D.
NPI 1568428613
Internal Medicine - Pulmonary Disease in Dallas, TX

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
PO BOX 207830, DALLAS, TX 75320(888) 412-2649(405) 792-8910 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, Jul 22, 2020 (2 updates tracked since 2020).

About Mohamad K Doleh M.d. NPPES

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

MOHAMAD K DOLEH M.D. (NPI 1568428613) is an individual pulmonary disease provider in Dallas, Texas, licensed in Tennessee (43763) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Parkwest Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1568428613
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMOHAMAD K DOLEHCredential: M.D.
Location AddressPO BOX 207830Dallas, TX 75320-7830
Mailing AddressPo Box 207830Dallas, TX 75320-7830 · (888) 412-2649 · Fax (405) 792-8910
Phone(888) 412-2649
Fax(405) 792-8910
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1568428613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TN · 43763
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 3587625 (OH), 43763 (TN)
PO BOX 207830, Dallas, TX 75320
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12240 Sutherland Ave Ste 103Knoxville, TN 37919-2333 · Phone (865) 588-8831
Location 210904 Kingston Pike Ste 102Knoxville, TN 37934-2952 · Phone (865) 392-1540
Location 32240 Sutherland Ave, Suite 104Knoxville, TN 37919-2333 · Phone (865) 909-0090 ext. 222 · Fax (865) 909-9883

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamad K Doleh M.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 ID9537170881
PECOS Enrollment IDI20080717000659
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 Reassignments

2

Medicare enrollment records show Mohamad Doleh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, PLLC
611 mi
Internal Medicine
1607 WESTGATE CIR STE 200
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
NPI 1659090298 (615) 376-8195
Statcare Inpatient LLC
765 mi
Internal Medicine
2240 SUTHERLAND AVE STE 103
Knoxville, TN 37919
  • Reassigned Medicare billing, Tennessee enrollment
  • 78 clinicians in this Medicare group
NPI 1477086981 (865) 909-0090

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

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
536 services229 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.
520 services237 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
186 services183 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.
124 services123 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
65 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services31 patients

Hospital Affiliations CMS Care Compare

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

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75320 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers51 claims51 services$17.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers56 claims56 services$87.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mohamad Doleh's NPI number?

The NPI number for Mohamad Doleh is 1568428613. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mohamad Doleh located?

Mohamad Doleh practices at PO Box 207830, Dallas, TX 75320. The listed phone number is (888) 412-2649.

What is Mohamad Doleh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohamad Doleh enrolled in Medicare?

Yes. Mohamad Doleh 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.

Which organizations bill Medicare for Mohamad Doleh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamad Doleh reassigns Medicare benefits to 2 organizations: Summit Medical Group, PLLC (Brentwood, TN) and Statcare Inpatient LLC (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohamad Doleh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamad Doleh accept?

Health plans from Cigna Healthcare list Mohamad Doleh 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 Mohamad Doleh affiliated with any hospitals?

According to CMS data, Mohamad Doleh is affiliated with Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamad Doleh was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.