Individual provider Active NPI

Nasimullah Rehmatullah, MD

  • Orthopaedic Surgery Physician
  • Conneaut, OH
National Provider Identifier
1144313354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
45903 Issued in OH
Practice address
167 W Main Rd Ste C
Conneaut, OH 44030-2057
Phone
(440) 593-6433
Fax
(440) 593-6900
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 45903 OH Primary

Addresses

Primary practice location

167 W Main Rd Ste C
Conneaut, OH 44030-2057

Mailing address

PO Box 219
Conneaut, OH 44030-0219
Phone (440) 593-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120210000562 OH Practitioner - Orthopedic Surgery 9234396797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

167 W Main Rd
Suite C
Conneaut, OH 44030-2057
Phone (440) 593-6433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45903OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N. Rehmatullah, MD, Inc Orthopaedic Surgery CurrentSince Dec 31, 1975 Accepting new patients

Locations

167 W Main Rd
Ste C
Conneaut, OH 44030
Phone (216) 593-6433

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144313354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440300219",
            "telephone_number": "440-593-6433",
            "fax_number": "440-593-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN RD STE C",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-593-6433",
            "fax_number": "440-593-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHMATULLAH",
        "first_name": "NASIMULLAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "45903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

Verify at the official NPI Registry.