NPIMap

Individual provider Active NPI

Muhammed Tahir Javed, M.D.

  • Specialist
  • Olean, NY
National Provider Identifier
1356309405
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
193890-1 Issued in NY
Practice address
623 Main St
Olean, NY 14760-1515
Phone
(716) 372-4212
Fax
(716) 373-9167
NPI assigned
May 1, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 193890-1 NY Primary
Specialist 174400000X MD055719-L PA

Addresses

Primary practice location

623 Main St
Olean, NY 14760-1515

Mailing address

623 Main St
P O Box 583
Olean, NY 14760-1515
Phone (716) 372-4212

Other identifiers 2

IdentifierTypeStateIssuer
01546870MedicaidPA
01452253MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101018001175 NY Practitioner - NephrologyPractitioner - Internal Medicine 8426945239 Reassigns benefits to 2 organizations
I20111202000148 PA Practitioner - NephrologyPractitioner - Internal Medicine 8426945239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 362-8277

4039 Route 219
Suite 101
Salamanca, NY 14779-9625
Phone (716) 945-0361

623 Main St
Suite 200
Olean, NY 14760-1532
Phone (716) 372-4212

665 E Main St
Bradford, PA 16701-1816
Phone (814) 362-7417

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince Jan 15, 2018 Accepting new patients

Locations

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

515 Main St
Olean, NY 14760
Phone (716) 373-2600

623 Main St
Olean, NY 14760
Phone (716) 372-4212

623 Main St
Ste 200
Olean, NY 14760
Phone (716) 372-4212

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Interoperability endpoints

  • Direct secure messaging: javed@nsmg.directbygreenway.com

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaleida HealthBuffalo, NY, CCN 330005 Hospital Corporate Director May 1, 2019
Olean General HospitalOlean, NY, CCN 330103 Hospital Corporate Director Nov 5, 2009
Olean General HospitalOlean, NY, CCN 33U103 Hospital Corporate Director Nov 1, 2012
Kaleida HealthBuffalo, NY, CCN 33T005 Hospital Corporate Director May 1, 2019
Bradford Regional Medical CenterBradford, PA, CCN 33010301 Hospital Corporate Officer Jan 1, 2022
Degraff Memorial Hospital-Skilled Nursing FacilityNorth Tonawanda, NY, CCN 335669 Skilled nursing facility Corporate Director Oct 1, 2019
Highpointe on Michigan HCFBuffalo, NY, CCN 335834 Skilled nursing facility Corporate Director May 1, 2019
Olean General HospitalBradford, PA, CCN 395355 Skilled nursing facility Corporate Director Nov 5, 2009
Olean General HospitalSmethport, PA, CCN 393421 Rural health clinic Corporate Director Nov 5, 2009
Olean General HospitalBradford, PA, CCN 393420 Rural health clinic Corporate Director Nov 5, 2009
Olean General HospitalBradford, PA, CCN 393422 Rural health clinic Corporate Director Nov 5, 2009

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1356309405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "address_2": "P O BOX 583",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601515",
            "telephone_number": "716-372-4212",
            "fax_number": "716-373-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601515",
            "telephone_number": "716-372-4212",
            "fax_number": "716-373-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "MUHAMMED",
        "middle_name": "TAHIR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "193890-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD055719-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01546870",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01452253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.