Active NPI
Mukarram Razvi, D.O.
- Family Medicine Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102205207
- Practice address
- 1999 S Main St Ste 405
Blacksburg, VA 24060-6601 - Phone
- (540) 930-0539
- Fax
- (540) 317-3164
- NPI assigned
- Apr 12, 2015
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 0102205207 | VA | |
| Family Medicine Physician | 207Q00000X | 0102205207 | VA | Primary |
Addresses
Primary practice location
1999 S Main St Ste 405
Blacksburg, VA 24060-6601
Mailing address
1999 S Main St Ste 405
Blacksburg, VA 24060-6601
Phone (540) 930-0539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
652 Newell Ave
Manahawkin, NJ 08050-3646
Hospital & facility affiliations
- Southern Ocean Medical Center
- JFK University Medical Center
- Barnegat Rehabilitation and Nursing Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205207 | VA | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mukarram Razvi, DO, PLLC | Current | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
1999 S Main St
Ste 505J
Blacksburg, VA 24060
Phone (347) 377-2984
1999 S Main St
Ste 405
Blacksburg, VA 24060
Phone (276) 260-8939
Interoperability endpoints
- mukarram.razvi@116499954925572.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Blacksburg, VA
- NPI 1194383497
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1013303486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 S MAIN ST STE 405",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606601",
"telephone_number": "540-930-0539",
"fax_number": "540-317-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 S MAIN ST STE 405",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606601",
"telephone_number": "540-930-0539",
"fax_number": "540-317-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZVI",
"first_name": "MUKARRAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-12",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "VA",
"license": "0102205207",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102205207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.