Individual provider Active NPI

Mukarram Razvi, D.O.

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1013303486
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205207 Issued in VA
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

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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 Hospital, Manahawkin, NJ, CCN 310113
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Barnegat Rehabilitation and Nursing Center Nursing home, Barnegat, NJ, CCN 315222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102205207VAMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mukarram Razvi, DO, PLLC CurrentSince Mar 12, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.