Individual provider Active NPI

Mohammad Abu-Rub, M.B.B.S.

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1154689255
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
59895 Issued in DC
Practice address
1225 Harding PL
Charlotte, NC 28204-2826
Phone
(704) 631-0614
NPI assigned
Apr 26, 2012
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 59895 DC Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 59895 DC

Addresses

Primary practice location

1225 Harding PL
Charlotte, NC 28204-2826

Mailing address

1225 Harding PL Ofc 4130
Charlotte, NC 28204-2826
Phone (704) 631-0614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170816003345 DC Practitioner - Neurology 2567734163 Reassigns benefits to 1 organization
I20231030002139 NC Practitioner - Neurology 2567734163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1225 Harding PL
Suite 4100
Charlotte, NC 28204-2826
Phone (704) 377-9323

7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59895DCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Neurology CurrentSince Oct 2, 2023 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jul 17, 2017 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 2, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

2021 K St NW
Ste 480
Washington, DC 20006

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10660 Park Rd
Ste 4500
Charlotte, NC 28210
Phone (704) 667-8800

1225 Harding Pl
Ste 4100
Charlotte, NC 28204
Phone (704) 377-9323

1225 Harding Pl
Ste 4200
Charlotte, NC 28204
Phone (704) 446-1900

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

Interoperability endpoints

  • Direct secure messaging: maburub1236231@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: maburub19442@gwmfa.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1154689255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HARDING PL OFC 4130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042826",
            "telephone_number": "704-631-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HARDING PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042826",
            "telephone_number": "704-631-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU-RUB",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "59895",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "DC",
            "license": "59895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.