CMS-1500 Box 24J / 33a • NPI
1083866149
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0011X (CMS C3)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
10506 MONTGOMERY RD STE 300A, MONTGOMERY, OH, 45242-4400
✓ 9-Digit EDI 837 ZIP+4 (45242-4400)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083866149 (MOHAMMED ALI MOHAMMED AL-AMOODI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083866149 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MOHAMMED ALI MOHAMMED AL-AMOODI |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0011X (Internal Medicine, Interventional Cardiology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 10506 MONTGOMERY RD STE 300A, MONTGOMERY, OH, 45242-4400 |
| Practice Telephone / Fax | Tel: (513) 246-2400 | Fax: (513) 246-4050 |
| Administrative Mailing Address | 6875 W 51ST TER, MISSION, KS, 66202-1558 |
| Enumeration & Last Sync | Enumerated: 2008-10-21 | CMS Record Updated: 2024-11-07 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RI0011X)
What Does Taxonomy Code 207RI0011X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0011X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MOHAMMED ALI MOHAMMED AL-AMOODI)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AZ | License: 48547 | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OH | License: 35.136825 | Primary: Yes (Primary) |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MO | License: 2008028015 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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