Active NPI
Maqsood Ahmed Valliani, MD
- Pediatrics Physician
- Roanoke Rapids, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2001-01403
- Practice address
- 2066 NC 125 Hwy
Roanoke Rapids, NC 27870 - Phone
- (252) 536-5000
- Fax
- (252) 536-2258
- NPI assigned
- Jan 3, 2006
- Last updated
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 2001-01403 | NC | |
| Pediatrics Physician | 208000000X | 2001-01403 | NC | Primary |
Addresses
Primary practice location
2066 NC 125 Hwy
Roanoke Rapids, NC 27870
Mailing address
PO Box 1326
Roanoke Rapids, NC 27870-1326
Phone (252) 536-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2259181 | Other | NC | UNITED HEALTH CARE # |
| 2001-01403 | Other | NC | NC MEDICAL LICENSE # |
| C0598 | Other | NC | MEDCOST LLC PROVIDER # |
| 89130YP | Medicaid | NC | |
| 2100233 | Other | NC | MAMSI PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001-01403 | NC | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group, Inc. | Current | Accepting new patients | |
| Rural Health Group Inc | Current | Accepting new patients | |
| Rural Health Group, Inc. | Past | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
1096 E 10th St
Roanoke Rapids, NC 27870
Phone (252) 535-3516
1381 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 535-1414
2064 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 536-5000
2066 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 536-5000
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADHEAA/Endpoint/ADHEAA
- maqsood.valliani@rhgnc.eclinicaldirectplus.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rural Health Group at Jackson
- Federally Qualified Health Center (FQHC)
- Jackson, NC
- NPI 1689626178
-
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1871081000
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Federally Qualified Health Center (FQHC)
- Weldon, NC
- NPI 1932696267
-
dba Rural Health Group at Halifax Regional Medical Center
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1528489895
-
dba Rural Health Group at Roanoke Rapids/Dental
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1669500997
-
dba Rural Health Group at Roanoke Rapids
- Federally Qualified Health Center (FQHC)
- Roanoke Rapids, NC
- NPI 1720030232
-
dba Rural Health Group at Lake Gaston
- Federally Qualified Health Center (FQHC)
- Littleton, NC
- NPI 1093767535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1003894890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1326",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278701326",
"telephone_number": "252-536-5000",
"fax_number": "252-536-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2066 NC 125 HWY",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "27870",
"telephone_number": "252-536-5000",
"fax_number": "252-536-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLIANI",
"first_name": "MAQSOOD",
"middle_name": "AHMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NC",
"license": "2001-01403",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2001-01403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "2259181",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL LICENSE #",
"identifier": "2001-01403",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST LLC PROVIDER #",
"identifier": "C0598",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130YP",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER #",
"identifier": "2100233",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.