Individual provider Active NPI

Mouwafak M. Al-Rawi, M.D.

  • Specialist
  • Greensburg, PA
National Provider Identifier
1184635179
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD068209L Issued in PA
Practice address
433 Frye Farm Rd
Suite 7
Greensburg, PA 15601-6480
Phone
(724) 539-0505
Fax
(724) 532-2430
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD068209L PA Primary

Addresses

Primary practice location

433 Frye Farm Rd
Suite 7
Greensburg, PA 15601-6480

Mailing address

433 Frye Farm Rd
Suite 7
Greensburg, PA 15601-6480
Phone (724) 539-0505

Other identifiers 1

IdentifierTypeStateIssuer
0017695440007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Penn-Otorhinolaryngology PastSince Jul 31, 1995 Accepting new patients
Ny Otolaryngology PLLC Specialist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184635179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 FRYE FARM RD",
            "address_2": "SUITE 7",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016480",
            "telephone_number": "724-539-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 FRYE FARM RD",
            "address_2": "SUITE 7",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016480",
            "telephone_number": "724-539-0505",
            "fax_number": "724-532-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-RAWI",
        "first_name": "MOUWAFAK",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD068209L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017695440007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.