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

Mutahher Ibraze Mohammed

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376123141

Mutahher Ibraze Mohammed is a Family Practice in Urbana, Ohio. Qualified in 2021, 5 years ago. Practices with Mercy Health Physicians Springfield Primary Care LLC, a 36-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

204 Patrick Ave
Urbana, OH 43078-2302
Phone: (937) 653-3445
Show map & directions

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

Additional practice locations (1)

  • 155 5th St Ne, Barberton, OH 44203-3332 — (330) 615-3205

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.151461 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376123141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy Health Physicians Springfield Primary Care Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Urbana