Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anseruddin Mohammed, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1093978165

Anseruddin Mohammed, MD is a Psychiatry in Johnstown, Pennsylvania. Qualified in 2002, 24 years ago. Practices with McLaren Medical Group, a 247-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Michigan, Pennsylvania and Texas and 1 more.

Years since qualifying
24
Licensed in
IL, MI, PA, TX, VA
In the registry since
2008
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

119 Walnut St Walnut Plz
Johnstown, PA 15901-1625
Phone: (814) 534-1095
Fax: (814) 534-6145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5101 Willow Springs Rd, La Grange, IL 60525-2600 — (708) 245-9000
  • 1215 E Michigan Ave, Lansing, MI 48912-1811 — (517) 364-5160
  • 1210 W Saginaw St Fl 2, Lansing, MI 48915-1927 — (517) 364-5160
  • 2244 Executive Dr, Hampton, VA 23666-2430 — (757) 827-1001

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 0101283480 (VA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD441808 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence U5298 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4301093935 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036165779 (IL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 4301093935 (MI)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 036165779 (IL)

Record details

NPI number1093978165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address1086 Franklin St, Johnstown, PA 15905-4305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice McLaren Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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