Organization Active NPI

N. Rehmatullah, MD, Inc

  • Orthopaedic Surgery Physician
  • Conneaut, OH
National Provider Identifier
1144592197
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
45903 Issued in OH
Legal business name
N. REHMATULLAH, MD, INC
Practice address
167 W Main Rd
Suite C
Conneaut, OH 44030-2057
Phone
(440) 593-6433
Fax
(440) 593-6900
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Nasimullah Rehmatullah, MDNPI 1144313354
Title
President
Phone
(440) 593-6433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 45903 OH Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0457189MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120210000544 OH Part B Supplier - Clinic/Group Practice 5890952352 Receives reassigned benefits from 1 practitioner
Practice locations: Conneaut, OH

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1144592197",
    "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",
            "address_2": "SUITE C",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-593-6433",
            "fax_number": "440-593-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. REHMATULLAH, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "REHMATULLAH",
        "authorized_official_first_name": "NASIMULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-593-6433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "45903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0457189",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.