Active NPI
Mir Mohammad Tokir Mujtaba, MD
- Cardiovascular Disease Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20655
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-0001 - Phone
- (603) 650-5724
- NPI assigned
- Jul 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD13464 | RI | |
| Internal Medicine Physician | 207R00000X | 51042 | CT | |
| Internal Medicine Physician | 207R00000X | C191530 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | 20655 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-0001
Mailing address
1426 University Ave Ste C
Riverside, CA 92507-4401
Phone (951) 522-1425
Other practice location 1
1426 University Ave Ste C
Riverside, CA 92507-4401
Phone (951) 522-1425
Other practice location 2
80 Seymour St
Hartford, CT 06106-3315
Phone (860) 545-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578727178 | Other | CT | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1426 University Ave
Suite C
Riverside, CA 92507-4401
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C191530 | CA | MD | Internal Medicine Physician |
| 51042 | CT | MD | Internal Medicine Physician |
| 20655 | NH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Internal Medicine | Current | Accepting new patients |
| Vital Care Health Group a Medical Corporation | Current | Accepting new patients | |
| Mount Sinai Hospice and Palliative Care Inc | Past | Accepting new patients |
Locations
1426 University Ave
Ste C
Riverside, CA 92507
Phone (760) 696-7023
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Interoperability endpoints
- mmujtaba397313@direct.dartmouth-hitchcock.org
Organizations & group practices 6
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
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
Internal Medicine
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Primary Care Clinic/Center
- Riverside, CA
- NPI 1619778289
-
dba Hampstead Hospital
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Community Based Hospice Care Agency
- Riverside, CA
- NPI 1669080222
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverside, CA
- NPI 1306334057
-
dba Assistive Hospice and Palliative Care
- Community Based Hospice Care Agency
- Riverside, CA
- NPI 1700431392
-
- Community Based Hospice Care Agency
- Riverside, CA
- NPI 1669080222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1578727178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 UNIVERSITY AVE STE C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925074401",
"telephone_number": "951-522-1425",
"fax_number": "951-900-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037560001",
"telephone_number": "603-650-5724"
}
],
"practiceLocations": [
{
"address_1": "1426 University Ave Ste C",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925074401",
"country_code": "US",
"telephone_number": "951-522-1425",
"fax_number": "951-900-6169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063315",
"country_code": "US",
"telephone_number": "860-545-5020",
"fax_number": "860-545-5631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUJTABA",
"first_name": "MIR MOHAMMAD",
"middle_name": "TOKIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-12",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD13464",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "51042",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C191530",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "20655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1578727178",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.