Mubarizuddin Baba Mohammed Khaja

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042682 Issued in NY

Practice address

6319 N Leavitt St Apt 18F
Chicago, IL 60659-2113

Phone

(872) 806-6833

NPI assigned

May 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nysarc Inc Sullivan County Chapter

  • Developmental Disabilities Clinic/Center
  • Monticello, NY
  • NPI 1609985571

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1316438583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WHEELER PL",
            "address_2": "APT 1",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541725",
            "telephone_number": "872-806-6833",
            "fax_number": "845-791-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 N LEAVITT ST APT 18F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592113",
            "telephone_number": "872-806-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABA MOHAMMED KHAJA",
        "first_name": "MUBARIZUDDIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baaltz Mobile Health Services Inc
• Eric A Baas, OD
• Kelly Baas, LCPC
• Sabine Baasch, PT
• Shalen Baase, LMT
• Baba Yaga Therapy PLLC
• Walten Baba, M.D
• Kevin Ben Babajoni, DMD
• Adesola O Babalola, FNP-BC
• Muyiwa Adetona Babarinde

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.