Organization Active NPI

Javed Cardiac Center, PLLC

  • Specialist
  • Bluefield, VA
National Provider Identifier
1518077890
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101055460 Issued in VA
Legal business name
JAVED CARDIAC CENTER, PLLC
Practice address
2003 Leatherwood LN
Bluefield, VA 24605-2026
Phone
(276) 322-0000
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Mohammad Javed Rana, M.D.NPI 1679574644
Title
Physician
Phone
(276) 322-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101055460 VA Primary

Addresses

Primary practice location

2003 Leatherwood LN
Bluefield, VA 24605-2026

Mailing address

2003 Leatherwood LN
Bluefield, VA 24605-2026
Phone (276) 322-0000

Other identifiers 4

IdentifierTypeStateIssuer
010114918MedicaidVA
233-35-5598OtherSS# FOR MOHAMMAD RANA, MD
0080080000MedicaidWV
1679574644OtherINDIVIDUAL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040909000984 VA Part B Supplier - Clinic/Group Practice 5698741619 Receives reassigned benefits from 1 practitioner
Practice locations: Bluefield, VA
O20080624000025 WV Part B Supplier - Clinic/Group Practice 5698741619 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1028969Javed Cardiac Center, PLLC2003 Leatherwood Lane, Bluefield, VA 24605Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

2003 Leatherwood Ln
Bluefield, VA 24605
Phone (276) 322-0000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1518077890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 LEATHERWOOD LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052026",
            "telephone_number": "276-322-0000",
            "fax_number": "276-322-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LEATHERWOOD LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052026",
            "telephone_number": "276-322-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVED CARDIAC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "JAVED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-322-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101055460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010114918",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS# FOR MOHAMMAD RANA, MD",
            "identifier": "233-35-5598",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080080000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER #",
            "identifier": "1679574644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.