NPIMap

Individual provider Active NPI

Mohammad Delbahar Hossain, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1477653137
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9701768 Issued in NC
Practice address
3214 Charles B Root Wynd
Suite 213
Raleigh, NC 27612-5440
Phone
(919) 781-8780
Fax
(919) 781-8782
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9701768 NC Primary
Pediatrics Physician 208000000X 9701768 NC

Addresses

Primary practice location

3214 Charles B Root Wynd
Suite 213
Raleigh, NC 27612-5440

Mailing address

3214 Charles B Root Wynd
Suite 213
Raleigh, NC 27612-5440
Phone (919) 781-8780

Other identifiers 3

IdentifierTypeStateIssuer
2261904EOtherNCSECONDARY MEDICARE
891128NMedicaidNC
9701768OtherNCMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031106000512 NC Practitioner - Internal Medicine 6204749237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 954-3965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701768NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Internal Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 9, 2013 Accepting new patients
Allmed Clinic PA Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Sep 9, 2013 Accepting new patients
Lifelink Medical Group PLLC PastSince Jun 1, 2011 Accepting new patients
Rex Hospital Inc Past Accepting new patients
Allcare Internal Medicine & Pediatrics, PA Internal Medicine PastSince Aug 3, 1999 Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

3708 Forestview Rd
Ste 207
Raleigh, NC 27612
Phone (919) 781-8780

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

3214 Charles B Root Wynd
Ste 213
Raleigh, NC 27612
Phone (919) 781-8780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15153/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/11549/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mhossain193880@direct.medicine.duke.edu

Organizations & group practices 8

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 6

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1477653137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 213",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125440",
            "telephone_number": "919-781-8780",
            "fax_number": "919-781-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 CHARLES B ROOT WYND",
            "address_2": "SUITE 213",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125440",
            "telephone_number": "919-781-8780",
            "fax_number": "919-781-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "DELBAHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701768",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9701768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECONDARY  MEDICARE",
            "identifier": "2261904E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891128N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "9701768",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.