MOHAMMAD AMIN HADAVAND – Emergency Medicine Physician, NPI 1114508934

MOHAMMAD AMIN HADAVAND is a healthcare provider. based in Hershey, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold a License No. V1118 (TX). The NPI Number for MOHAMMAD AMIN HADAVAND is 1114508934

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMAD AMIN HADAVAND
NPI
1114508934
Phone
Not provided
Address
500 UNIVERSITY DR
Enumeration Date
15 April 2021
Last Update Date
14 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
3086301111
Graduation Year
2021 (5 years ago)
PAC ID
0749684082
Group Practice PAC ID
1759285885
Professional Enrollment ID
I20241015003278
Address ID
NE693614602SC4021XBXXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for MOHAMMAD AMIN HADAVAND

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240730002358IEmergency MedicineTXTBD
I20241015003278IEmergency MedicineNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759285885View full group profile
NameSpecialtyState
Interventional RadiologyCO
-NE
Diagnostic Radiology, Interventional RadiologyIL
Emergency MedicineOR
Interventional Radiology, Diagnostic RadiologyCA
-SD
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyCO
-NE
Emergency MedicineUT
Diagnostic RadiologyNE

Reviews

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Frequently asked questions

Can I use this page to confirm MOHAMMAD AMIN HADAVAND's NPI?
Yes. MOHAMMAD AMIN HADAVAND is listed with NPI 1114508934 in the public NPI dataset.
Does CMS list MOHAMMAD AMIN HADAVAND as active?
Yes — MOHAMMAD AMIN HADAVAND is active in the NPI listing used on this page.
What taxonomy line describes MOHAMMAD AMIN HADAVAND?
For research purposes, treat MOHAMMAD AMIN HADAVAND as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MOHAMMAD AMIN HADAVAND based?
MOHAMMAD AMIN HADAVAND is tied to Hershey, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about MOHAMMAD AMIN HADAVAND up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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