Edward R Mogabgab, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9501609 Issued in NC

Practice address

1700 Abbey PL
Ste 200
Charlotte, NC 28209-3734

Phone

(704) 262-7240

Fax

(704) 262-7249

NPI assigned

Sep 16, 2006

Last updated

Oct 3, 2018By the provider in NPPES

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 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

Specialty

Family Practice

Education

Tulane University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16389/brand/1/csg/1/fhir/r4

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.

• Centro Medico Latino, PC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1164884821
  Medicare reassignment NPD
• Medical Practice of Concord, PC

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1942472667
  Authorized official Same address or phone
• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  Internal Medicine

  NPD
• Carolina Center for Recovery

  • Substance Abuse Rehabilitation Facility
  • Charlotte, NC
  • NPI 1669989554
  NPD (past)
• Southeast Alaska Regional Health Consortium

  dba SEARHC - Juneau Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Juneau, AK
  • NPI 1851486153
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1326144080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ABBEY PL",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093734",
            "telephone_number": "704-262-7240",
            "fax_number": "704-262-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ABBEY PL",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093734",
            "telephone_number": "704-262-7240",
            "fax_number": "704-262-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGABGAB",
        "first_name": "EDWARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9501609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Caldwell Moffatt
• Lawrence S. Moffatt Jr., MD
• Jaime Leigh Moffett, LCSW
• Janey M Moffett
• Rachel Page Moffett, DO
• Daniel J Mogensen, D.P.T
• Laurel H Mogensen, PT
• Radhia A Mogoma, PT
• Dalia Mohamed
• Qamar Mohamed

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.