Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARYAM KHADIJAH MOHAMMED
NPI 1720512619
Surgery - Surgical Critical Care in Baltimore, MD

Active since April 18, 2017PECOS Enrolled
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-6704(410) 328-4124 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Jun 7, 2017, Apr 18, 2017 (3 updates tracked since 2017).

About Maryam Khadijah Mohammed NPPES

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

MARYAM KHADIJAH MOHAMMED (NPI 1720512619) is an individual surgical critical care provider in Baltimore, Maryland, licensed in Maryland (D0105815) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1720512619
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameMARYAM KHADIJAH MOHAMMED
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address22 S Greene StBaltimore, MD 21201-1544 · (410) 328-6704 · Fax (410) 328-4124
Fax(410) 328-4124
Sole ProprietorNo
Enumeration DateApril 18, 2017
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1720512619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in MD · D0105815
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT213373 (PA)
22 S GREENE ST, Baltimore, MD 21201

Secondary Practice Location 1

Location 13600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · Phone (412) 647-6340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maryam Khadijah Mohammed 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.

Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201

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 Maryam Mohammed's NPI number?

The NPI number for Maryam Mohammed is 1720512619. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Maryam Mohammed located?

Maryam Mohammed practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6704.

What is Maryam Mohammed's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Maryam Mohammed enrolled in Medicare?

Yes. Maryam Mohammed is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Mohammed was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.