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

PA SURGERY GROUP LLC
NPI 1891477162
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Active since August 04, 2023
2200 ARCH ST STE 102, PHILADELPHIA, PA 19103(215) 515-2881 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Oct 15, 2023 (2 updates tracked since 2023).

About Pa Surgery Group Llc NPPES

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

PA SURGERY GROUP LLC (NPI 1891477162) is a healthcare organization registered as an oral and maxillofacial surgery in Philadelphia, Pennsylvania and active in the NPI registry since August 2023. The organization lists Ali Mohammad, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1891477162
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePA SURGERY GROUP LLC
Location Address2200 ARCH ST STE 102Philadelphia, PA 19103-1353
Mailing Address2200 Arch St Ste 102Philadelphia, PA 19103-1353 · (215) 515-2881 · Fax (267) 715-5566
Phone(215) 515-2881
Organization SubpartNo
Authorized OfficialAli MohammadSurgeon · (917) 330-0939
Enumeration DateAugust 4, 2023
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1891477162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2200 ARCH ST STE 102, Philadelphia, PA 19103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pa Surgery Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to PA Surgery Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ali Mohammad, D.D.S.
Oral Surgery
NPI 1952557852
2200 ARCH ST STE 102
Philadelphia, PA 19103
(215) 515-2881
✔ PECOSSame address
Sean Kim
Dentist
NPI 1477182467
3223 N BROAD ST
Philadelphia, PA 19140
(215) 707-2871
✔ PECOS3.4 mi

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

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 PA Surgery Group LLC's NPI number?

The NPI number for PA Surgery Group LLC is 1891477162. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is PA Surgery Group LLC located?

PA Surgery Group LLC is located at 2200 Arch St Ste 102, Philadelphia, PA 19103. The listed phone number is (215) 515-2881.

What is PA Surgery Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is PA Surgery Group LLC enrolled in Medicare?

Yes. PA Surgery Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through PA Surgery Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to PA Surgery Group LLC, in Dentist and Oral Surgery. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does PA Surgery Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list PA Surgery Group LLC 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.

When was this NPI record last updated?

The NPPES record for PA Surgery Group LLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 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.