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

Mohammed Ali Mohammed Al-Amoodi

Individual provider Interventional Cardiology Physician · NPI 1083866149

Mohammed Ali Mohammed Al-Amoodi is an Interventional Cardiology in Montgomery, Ohio. Qualified in 2004, 22 years ago. Practices with Saint Marys Medical Group Inc, a 52-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Missouri and Ohio.

Years since qualifying
22
Licensed in
AZ, MO, OH
In the registry since
2008
Specialties on file
3

Practice location Address checks out

10506 Montgomery Rd Ste 300A
Montgomery, OH 45242-4400
Phone: (513) 246-2400
Fax: (513) 246-4050
Show map & directions

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

Additional practice locations (3)

  • 1707 W Saint Marys Rd Ste 101, Tucson, AZ 85745-2612 — (520) 622-5912
  • 1951 W 25th St Ste F, Yuma, AZ 85364-6924 — (928) 336-1675
  • 6875 W 51st Ter, Mission, KS 66202-1558 — (913) 271-7328

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 35.136825 (OH)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 48547 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2008028015 (MO)

Record details

NPI number1083866149
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Saint Marys Medical Group Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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