Individual provider Active NPI

Mujahed Bud Lateef, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pittsburgh, PA
National Provider Identifier
1710938246
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD421997 Issued in PA
Practice address
110 Roessler Rd Ste 100D
Pittsburgh, PA 15220-1014
Phone
(412) 466-7246
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD421997 PA Primary

Addresses

Primary practice location

110 Roessler Rd Ste 100D
Pittsburgh, PA 15220-1014

Mailing address

PO Box 13166
Pittsburgh, PA 15243-0166
Phone (412) 446-6172

Other identifiers 1

IdentifierTypeStateIssuer
1012616590002MedicaidPA

Other names 1

  • M. Bud Lateef Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050202000575 PA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7517918071 Reassigns benefits to 1 organization
I20201021003215 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7517918071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 28, 2019 Accepting new patients
Dr. Newmed Health and Wellness, LLC Pain Medicine CurrentSince May 16, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Jan 28, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

9220 E Mountain View Rd
Ste 215
Scottsdale, AZ 85258
Phone (480) 214-3313

228 Saint Charles Way
Ste 300
York, PA 17402
Phone (717) 812-2055

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Organizations & group practices 4

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1710938246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13166",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152430166",
            "telephone_number": "412-446-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROESSLER RD STE 100D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201014",
            "telephone_number": "412-466-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATEEF",
        "first_name": "MUJAHED",
        "middle_name": "BUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD421997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012616590002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "LATEEF",
            "middle_name": "BUD",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.