Individual provider Active NPI

Muhammad Mujibur Rahman, M.D.

  • Neurology Physician
  • Meadville, PA
National Provider Identifier
1487748406
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35094687 Issued in OH
Practice address
765 Liberty St
Suite 303
Meadville, PA 16335-2566
Phone
(814) 333-3929
Fax
(814) 373-3539
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 35094687 OH
Clinical Neurophysiology Physician 2084N0600X 35094687 OH
Vascular Neurology Physician 2084V0102X 35094687 OH
Neurology Physician 2084N0400X 35094687 OH Primary

Addresses

Primary practice location

765 Liberty St
Suite 303
Meadville, PA 16335-2566

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-3929

Other identifiers 6

IdentifierTypeStateIssuer
001721763OtherWVBCBS SERVICE PROVIDER #
WV21335OtherWVHEALTH PLAN PROVIDER NBR
1487748406OtherNPI
3004665000MedicaidWV
P00073368OtherWVRAILROAD MEDICARE
H298420MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, PA, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140424001956 OH Practitioner - Neurology 6709781289 Reassigns benefits to 1 organization
I20141029000876 VA Practitioner - Neurology 6709781289 Reassigns benefits to 1 organization
I20161021000444 PA Practitioner - Neurology 6709781289 Reassigns benefits to 1 organization
I20230703000381 MD Practitioner - Neurology 6709781289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Neurology Consultant, P.a.Group PAC ID 9436254372, 5 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

235 Mill St
Suite 1
Hagerstown, MD 21740-6668
Phone (301) 739-5959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35094687OHMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians Neurology CurrentSince Jun 3, 2024 Accepting new patients
Fayette Physician Network Inc Neurology CurrentSince Apr 4, 2018 Accepting new patients
Fayette Physician Network Inc CurrentSince Apr 4, 2018 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 3, 2024 Accepting new patients
Neurology Consultant, P.a. CurrentSince Nov 5, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. Neurology CurrentSince Aug 24, 2015 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Aug 24, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Dr. Melissa Davis, P.S.C. Past Accepting new patients
Ashland Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

235 Mill St
Ste 1
Hagerstown, MD 21740
Phone (301) 739-5959

1735 27th St
Ste 102
Portsmouth, OH 45662
Phone (740) 353-7881

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

220 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 899-2900

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487748406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-3929",
            "fax_number": "814-373-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST",
            "address_2": "SUITE 303",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352566",
            "telephone_number": "814-333-3929",
            "fax_number": "814-373-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MUHAMMAD",
        "middle_name": "MUJIBUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "OH",
            "license": "35094687",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "35094687",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OH",
            "license": "35094687",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35094687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SERVICE PROVIDER #",
            "identifier": "001721763",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN PROVIDER NBR",
            "identifier": "WV21335",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487748406",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004665000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00073368",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H298420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.