Individual provider Active NPI

Mohammad Fayez Rujubali, MBBS

  • Internal Medicine Physician
  • Hickory, NC
National Provider Identifier
1306068234
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
946514 Issued in KS
Practice address
2386 Springs Rd NE
Hickory, NC 28601-3066
Phone
(828) 732-5400
NPI assigned
May 2, 2007
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 946514 KS Primary

Addresses

Primary practice location

2386 Springs Rd NE
Hickory, NC 28601-3066

Mailing address

810 Fairgrove Church Rd
Hickory, NC 28602-9617

Other practice location 1

810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220408000412 NC Practitioner - Internal Medicine 8426173287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

2386 Springs Rd NE
Hickory, NC 28601-3066
Phone (828) 732-5400

3900 Terrell Park Dr
Sherrills Ford, NC 28673-9510

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
946514KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Associates, LTD CurrentSince Jul 5, 2016 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jan 24, 2022 Accepting new patients
Catawba Valley Medical Group, Inc CurrentSince Jan 24, 2022 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Past Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients
Hospitalist Medicine Physicians of Albany County, PLLC Internal Medicine Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

2386 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

3900 Terrell Park Dr
Ste 102
Sherrills Ford, NC 28673
Phone (828) 330-2103

3900 Terrell Park Dr
Ste 100
Sherrills Frd, NC 28673
Phone (828) 732-5450

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

5735 Ridge Ave
Ste 102
Philadelphia, PA 19128
Phone (610) 896-0280

1001 City Line Ave
Unit WB113
Wynnewood, PA 19096
Phone (610) 896-0280

Interoperability endpoints

  • Direct secure messaging: mohammadfayez.rujubali@cvmg.eclinicaldirectplus.com
  • Direct secure messaging: mohammadfayez.rujubali@respiratoryassociates.chartmakerdirect.com

Organizations & group practices 7

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 1

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1306068234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 SPRINGS RD NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013066",
            "telephone_number": "828-732-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Fairgrove Church Rd",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286029617",
            "country_code": "US",
            "telephone_number": "828-326-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUJUBALI",
        "first_name": "MOHAMMAD FAYEZ",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "946514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.