Individual provider Active NPI

Maqsood Ahmed Valliani, MD

  • Pediatrics Physician
  • Roanoke Rapids, NC
National Provider Identifier
1003894890
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2001-01403 Issued in NC
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2259181OtherNCUNITED HEALTH CARE #
2001-01403OtherNCNC MEDICAL LICENSE #
C0598OtherNCMEDCOST LLC PROVIDER #
89130YPMedicaidNC
2100233OtherNCMAMSI 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020001055 NC Practitioner - Pediatric Medicine 1850317678 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-01403NCMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jan 20, 2024 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Rural Health Group, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Rural Health Group Inc CurrentSince Mar 10, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADHEAA/Endpoint/ADHEAA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.