Winchester Endocrinology PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

WINCHESTER ENDOCRINOLOGY PC

Practice address

172 Linden Drive
Suite 107
Winchester, VA 22601-2892

Phone

(540) 678-0767

Fax

(540) 678-0769

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Mustapha Abdul-Rahman, MDNPI 1588756886

Title

MD/Owner

Phone

(540) 678-0767

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Mustapha Abdul-Rahman, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Winchester, VA
  • NPI 1588756886
  Medicare reassignment NPD Authorized official
• Angela Lynn Titus, FNP-BC

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1093072225
  Medicare reassignment NPD

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1215034798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LINDEN DRIVE",
            "address_2": "SUITE 107",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012892",
            "telephone_number": "540-678-0767",
            "fax_number": "540-678-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINDEN DRIVE",
            "address_2": "SUITE 107",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012892",
            "telephone_number": "540-678-0767",
            "fax_number": "540-678-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "ABDUL-RAHMAN",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "540-678-0767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101235673",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG2224",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winchester Cardiothoracic and Vascular Surgeons, PLC
• Winchester Chiropractic Center, PC
• Winchester Citizens Services
• Winchester Community Mental Health Center, Inc.
• Winchester Ear, Nose & Throat Center, PLLC
• Winchester Endoscopy Services LLC
• Winchester Eye Surgery Center, LLC
• Winchester Family Chiropractic PLLC
• Winchester Family Practice PC
• Winchester Foot & Ankle Associates PLLC

• Endocrinology, Diabetes & Metabolism Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.