Active NPI
Mohammad Rassool, M.D.
- Internal Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1578636502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101038190
- Practice address
- 665 Newtown Rd Ste 114
Virginia Beach, VA 23462-1683 - Phone
- (757) 490-1226
- Fax
- (757) 473-3822
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101038190 | VA | Primary |
Addresses
Primary practice location
665 Newtown Rd Ste 114
Virginia Beach, VA 23462-1683
Mailing address
665 Newtown Rd
Suite 114
Virginia Beach, VA 23462-1683
Phone (757) 490-1226
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187542 | Other | VA | ANTHEM BCBS |
| 006080251 | Medicaid | VA | |
| 32014 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Roads Family Practice | Internal Medicine | Past | Accepting new patients |
| R&S Podiatry PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Virginia Beach, VA
- NPI 1326175043
-
- Podiatric Clinic/Center
- Virginia Beach, VA
- NPI 1326223140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1578636502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 NEWTOWN RD",
"address_2": "SUITE 114",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621683",
"telephone_number": "757-490-1226",
"fax_number": "757-473-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 NEWTOWN RD STE 114",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621683",
"telephone_number": "757-490-1226",
"fax_number": "757-473-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASSOOL",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101038190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "187542",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006080251",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "32014",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.