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

Mohammed Al-Issa, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700536976

Mohammed Al-Issa, DO is an Emergency Medicine in Columbus, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 2022, 4 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2022
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5100 W Broad St
Columbus, OH 43228-1607
Phone: (614) 544-1000
Fax: (614) 544-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1320 W Main St, Newark, OH 43055-1822 — (220) 564-4151

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 34.017531 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700536976
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address5100 W Broad St, Columbus, OH 43228-1607

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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