ANSERUDDIN MOHAMMED M.D. NPI 1093978165

NPI Information

  • NPI: 1093978165
  • Provider Name: ANSERUDDIN MOHAMMED, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 119 WALNUT ST
    WALNUT PLAZA
    JOHNSTOWN, PA
    ZIP 15901
  • Phone: (814) 534-1095

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NPI Details

Anseruddin Mohammed, M.D. is a child and adolescent psychiatry psychiatry neurology in Johnstown, PA with 24 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Anseruddin Mohammed, M.D. NPI is 1093978165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

119 WALNUT ST
WALNUT PLAZA
JOHNSTOWN, PA
ZIP 15901-625
Phone: (814) 534-1095
Fax: (814) 534-6145

The NPI 1093978165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 7/8/2008 and was last updated on 5/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD441808PENNSYLVANIANo
22084P0800XPsychiatry & NeurologyPsychiatryU5298TEXASNo
32084P0800XPsychiatry & NeurologyPsychiatry4301093935MICHIGANNo
42084P0800XPsychiatry & NeurologyPsychiatry036165779ILLINOISNo
52084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry4301093935MICHIGANNo
62084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0101283480VIRGINIAYes
72084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry036165779ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11026258280001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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