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MOHAMMAD AL WAHADNEH MD
NPI 1770154163
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since July 07, 2021PECOS Enrolled
9500 EUCLID AVE, CLEVELAND, OH 44195(216) 444-5690 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 11, 2024, Jun 6, 2024, Jul 7, 2021 (3 updates tracked since 2021).

About Mohammad Al Wahadneh Md NPPES

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

MOHAMMAD AL WAHADNEH MD (NPI 1770154163) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770154163
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMMAD AL WAHADNEHCredential: MD
Location Address9500 EUCLID AVECleveland, OH 44195-0002
Mailing Address9500 Euclid AveCleveland, OH 44195-0002 · (216) 444-5690
Phone(216) 444-5690
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 7, 2021
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1770154163 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.
9500 EUCLID AVE, Cleveland, OH 44195
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Al Wahadneh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466995998
PECOS Enrollment IDI20260527000851
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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

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 Mohammad Al Wahadneh's NPI number?

The NPI number for Mohammad Al Wahadneh is 1770154163. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Mohammad Al Wahadneh located?

Mohammad Al Wahadneh practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-5690.

What is Mohammad Al Wahadneh's specialty?

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

Is Mohammad Al Wahadneh enrolled in Medicare?

Yes. Mohammad Al Wahadneh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Al Wahadneh was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.