Individual provider Active NPI

Mohammad Rattu, D.O.

  • Emergency Medicine Physician
  • Stratford, NJ
National Provider Identifier
1356877526
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U9645 Issued in TX
Practice address
18 E Laurel Rd
Stratford, NJ 08084-1327
Phone
(856) 641-8000
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 25MB10645700 NJ
Emergency Medicine Physician 207P00000X U9645 TX Primary
Family Medicine Physician 207Q00000X 25MB10645700 NJ

Addresses

Primary practice location

18 E Laurel Rd
Stratford, NJ 08084-1327

Mailing address

18 E Laurel Rd
Stratford, NJ 08084-1327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241002000353 TX Practitioner - Emergency Medicine 1052641016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (281) 637-7000

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Aug 23, 2024 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 1, 2022 Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

4019 Interstate 45 N
Conroe, TX 77304
Phone (936) 856-1100

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

511 E Hospital St
San Augustine, TX 75972
Phone (936) 275-3446

3515 Rayford Rd
Spring, TX 77386
Phone (832) 510-6576

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

1317 Lake Pointe Pkwy
#H
Sugar Land, TX 77478
Phone (281) 637-7000

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808

Interoperability endpoints

  • Direct secure messaging: mrattu382364@direct.stlukeshealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1356877526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841327",
            "telephone_number": "856-641-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTU",
        "first_name": "MOHAMMAD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "25MB10645700",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U9645",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10645700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.