Ahmed Mudathir Hassan Mohamed, MBBS
NPI 1194392100ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Russellville, AR
Pathology, Anatomic Pathology & Clinical Pathology (MBBS) with Pathology Services Laboratory PA, practicing in Russellville, Arkansas. Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1194392100 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MBBS |
| Sole proprietor | No |
| NPI issued | Jun 8, 2021 |
| Last updated in NPPES | Sep 25, 2026 |
| Certified by provider | Sep 25, 2026 |
| Reactivated | Oct 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | E19914 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (AR) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Pathology Services Laboratory PARussellville, AR · 7 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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