Organization Active NPI

Comprehensive Neurology Care, PC

  • Neurology Physician
  • Valparaiso, IN
National Provider Identifier
1023315587
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01055878A Issued in IN
Legal business name
COMPREHENSIVE NEUROLOGY CARE, PC
Practice address
502 Wall St Ste 104
Valparaiso, IN 46383-2599
Phone
(219) 531-6571
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Dr. Mahmood Ghiyath Alnahass, MD
Title
Owner
Phone
(219) 531-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 01055878A IN Primary

Addresses

Primary practice location

502 Wall St Ste 104
Valparaiso, IN 46383-2599

Mailing address

502 Wall St
Ste 104
Valparaiso, IN 46383-2584
Phone (219) 531-6571

Other identifiers 2

IdentifierTypeStateIssuer
200415900AMedicaidIN
194350OtherINMEDICARE ID

National Provider Directory

National Provider Directory

Locations

3630 Willowcreek Rd
Ste 8
Portage, IN 46368
Phone (219) 531-6571

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1023315587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WALL ST",
            "address_2": "STE 104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832584",
            "telephone_number": "219-531-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WALL ST STE 104",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832599",
            "telephone_number": "219-531-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "ALNAHASS",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "GHIYATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-531-6571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01055878A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200415900A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "194350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.