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MOHAMMAD TINAWI MD
NPI 1770686669
Internal Medicine - Nephrology in Munster, IN

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
801 MACARTHUR BLVD, SUITE 400 A, MUNSTER, IN 46321(219) 931-5227(219) 932-8455 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mohammad Tinawi Md NPPES

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

MOHAMMAD TINAWI MD (NPI 1770686669) is an individual nephrology provider in Munster, Indiana, licensed in Michigan (4301056707) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1770686669
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMOHAMMAD TINAWICredential: MD
Location Address801 MACARTHUR BLVD, SUITE 400 AMunster, IN 46321-2915
Mailing Address55 E 86th AveMerrillville, IN 46410-6382 · (219) 769-1670 · Fax (219) 738-6714
Phone(219) 931-5227
Fax(219) 932-8455
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 6, 2006
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1770686669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301056707
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01071538 (IN)
801 MACARTHUR BLVD, Munster, IN 46321
Open in Google Maps ↗

Other Identifiers 5

Medicare UPING02019IN
Medicare ID-Type UnspecifiedN82520007MI
Medicaid201090420IN
Medicaid4257290MI
Medicare PIN164210001IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mohammad Tinawi Md 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 ID9537055371
PECOS Enrollment IDI20121107000022
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 Reassignment

Medicare enrollment records show Mohammad Tinawi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Specialists, PC.
Same address
Nephrology
801 MACARTHUR BLVD, STE 400A
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Nephrology Specialists, P.C.
  • 11 clinicians in this Medicare group
NPI 1881671865 (219) 931-5227

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 11

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.
1,116 services188 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
184 services153 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services100 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
178 services29 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.
155 services65 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
146 services58 patients

Hospital Affiliations CMS Care Compare 4

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%349 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%281 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%242 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
25%120 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%164 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
7%256 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 94% · 100 patients
97%100 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%242 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 120 patients
0%120 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers15 claims2,280 services$1.15 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims4,200 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims2,520 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers31 claims43 services$12.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MONROE MEDICAL ASSOCIATES, SC
Internal Medicine (Hematology & Oncology)
801 MACARTHUR BLVD, SUITE 401
MUNSTER, IN 46321
Lake County (219) 836-2860
NORTHWEST INDIANA NEUROLOGICAL ASSOCIATES, PC
Psychiatry & Neurology (Neurology)
801 MACARTHUR BLVD, STE 404
MUNSTER, IN 46321
Lake County (219) 836-2995
MRS. BARBARA WEISBAUM ROZENFELD L.C.S.W.
Social Worker (Clinical)
801 MACARTHUR BLVD, STE 404
MUNSTER, IN 46321
Lake County (219) 836-2995
MISS DANIELLE RENEE DOBKOWSKI
Pharmacy Technician
801 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-2480
JULIE MARIE PRUIM NP-C
Nurse Practitioner
801 MACARTHUR BLVD, SUITE 304
MUNSTER, IN 46321
Lake County (219) 836-1060
MS. ERIN KATHLEEN MARTIN PA-C
Physician Assistant
801 MACARTHUR BLVD, SUITE 204
MUNSTER, IN 46321
Lake County (219) 836-4220
MUNSTER MEDICAL RESEARCH FOUNDATION, INC.
Pharmacy (Community/Retail Pharmacy)
801 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-2480
DR. ANDREA JOY DELEO D.O., M.S.E.
Psychiatry & Neurology (Neurology)
801 MACARTHUR BLVD, STE 404
MUNSTER, IN 46321
Lake County (219) 836-2995

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 Tinawi's NPI number?

The NPI number for Mohammad Tinawi is 1770686669. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Mohammad Tinawi located?

Mohammad Tinawi practices at 801 Macarthur Blvd Suite 400 A, Munster, IN 46321. The listed phone number is (219) 931-5227.

What is Mohammad Tinawi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mohammad Tinawi enrolled in Medicare?

Yes. Mohammad Tinawi 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 organization bills Medicare for Mohammad Tinawi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Tinawi reassigns Medicare benefits to Nephrology Specialists, PC. (Munster, IN). The 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 Mohammad Tinawi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Tinawi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mohammad Tinawi 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 Mohammad Tinawi affiliated with any hospitals?

According to CMS data, Mohammad Tinawi is affiliated with St Catherine Hospital Inc, St Mary Medical Center Inc, Franciscan Health Dyer and Community Hospital.

When was this NPI record last updated?

The NPPES record for Mohammad Tinawi was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.