Individual provider Active NPI

M. Ramzy Saleh Hajmurad, M.D.

  • Specialist
  • Austell, GA
National Provider Identifier
1346376621
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021704 Issued in GA
Practice address
1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151
Phone
(770) 941-8508
Fax
(770) 941-8542
NPI assigned
Feb 23, 2007
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 021704 GA Primary

Addresses

Primary practice location

1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151

Mailing address

1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151
Phone (770) 941-8508

Other identifiers 1

IdentifierTypeStateIssuer
00202748AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110228000738 GA Practitioner - Urology 4183805807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ohio Medical University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 Mulkey Rd
Austell, GA 30106-1150
Phone (770) 941-8508

1810 Mulkey Rd
Suite 205
Austell, GA 30106-1126

1810 Mulkey Rd
Suite 205
Austell, GA 30106-1151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021704GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Ramzy Hajmurad, M. D., P.C. CurrentSince Nov 17, 2014 Accepting new patients
Douglasville Nephrology & HTN Clinic Specialist Past Accepting new patients

Locations

1810 Mulkey Rd
Ste 205
Austell, GA 30106
Phone (770) 489-4978

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1346376621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 205",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-941-8508",
            "fax_number": "770-941-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 205",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-941-8508",
            "fax_number": "770-941-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJMURAD",
        "first_name": "M. RAMZY",
        "middle_name": "SALEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "021704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202748A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.