Individual provider Active NPI

Muhammad Atif, MD

  • Surgery Physician
  • Jamestown, TN
National Provider Identifier
1407866890
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01062340A Issued in IN
Practice address
114 N Duncan St
Jamestown, TN 38556-3100
Phone
(931) 879-6293
Fax
(931) 879-9007
NPI assigned
Aug 8, 2006
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01062340A IN Primary

Addresses

Primary practice location

114 N Duncan St
Jamestown, TN 38556-3100

Mailing address

7630 Lincoln Mill Rd
Hobart, IN 46342-7006
Phone (219) 771-3740

Other practice location 1

600 Grant St
Gary, IN 46402-6001
Phone (219) 302-8396

Other identifiers 1

IdentifierTypeStateIssuer
200846010MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20050204000199 MI Practitioner - General SurgeryPractitioner - General PracticePractitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 8820049091
I20070208000281 IN Practitioner - General Surgery 8820049091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5304 Broadway
Merrillville, IN 46410-1555
Phone (219) 487-5773

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062340AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Point Pleasant Physician Billing Services Surgery PastSince Mar 2, 2015 Accepting new patients
Jamestown Hma Physician Management LLC Surgery PastSince Oct 7, 2018 Accepting new patients

Organizations & group practices 4

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 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1407866890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 LINCOLN MILL RD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463427006",
            "telephone_number": "219-771-3740",
            "fax_number": "219-942-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N DUNCAN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563100",
            "telephone_number": "931-879-6293",
            "fax_number": "931-879-9007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Grant St",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464026001",
            "country_code": "US",
            "telephone_number": "219-302-8396",
            "fax_number": "219-696-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIF",
        "first_name": "MUHAMMAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01062340A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200846010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

Verify at the official NPI Registry.