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DR. KHALID MOHAMED HAMADELNEEL MOHAMED MD
NPI 1700404126
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since July 13, 2020PECOS Enrolled
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 979-4100(423) 979-4134 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2024, Jul 13, 2020 (2 updates tracked since 2020).

About Dr. Khalid Mohamed Hamadelneel Mohamed Md NPPES

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

DR. KHALID MOHAMED HAMADELNEEL MOHAMED MD (NPI 1700404126) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1700404126
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KHALID MOHAMED HAMADELNEEL MOHAMEDCredential: MD
Location Address325 N STATE OF FRANKLIN RDJohnson City, TN 37604-6056
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-3229
Phone(423) 979-4100
Fax(423) 979-4134
Sole ProprietorNo
Enumeration DateJuly 13, 2020
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1700404126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
325 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-3229

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khalid Mohamed Hamadelneel Mohamed Md 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.

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.

SAMANTHA BOOKBINDER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (845) 269-1362
DEBORAH ANN THIBEAULT LCSW
Social Worker (Clinical)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
LEAH ALEXANDRA SURBAUGH PHARMD
Pharmacist (Psychiatric)
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
DR. ARMAAN WASIF AHMED MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
VARSHINI NARMADA RAMASAMY BALASUBRAMANIAN MBBS
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
HASAN DAHER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 439-7280
ANGELA G WILLOCKS NP
Nurse Practitioner (Family)
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320
JOHN WILLIAM SCHWEITZER M.D.
Pediatrics
325 N STATE OF FRANKLIN RD, GROUND FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7320

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 Khalid Mohamed's NPI number?

The NPI number for Khalid Mohamed is 1700404126. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Khalid Mohamed located?

Khalid Mohamed practices at 325 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 979-4100.

What is Khalid Mohamed's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khalid Mohamed enrolled in Medicare?

Yes. Khalid Mohamed is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khalid Mohamed was last updated on June 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.