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

Imtiaz Mohamed, MD

Individual provider Gastroenterology Physician · NPI 1396796884

Imtiaz Mohamed, MD is an Emergency Medicine in Hayward, Wisconsin. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
37
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
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

11040 N State Road 77
Hayward, WI 54843-3606
Phone: (715) 934-4321
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 56386 (MN)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 41063 (WI)

Record details

NPI number1396796884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare