Individual provider Active NPI

Muhammad Amjad Mukhtar, M.D.

  • Internal Medicine Physician
  • White Oak, PA
National Provider Identifier
1740248145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD057971L Issued in PA
Practice address
1801 Lincoln Way
White Oak, PA 15131-1724
Phone
(412) 672-9000
Fax
(412) 672-9050
NPI assigned
May 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD057971L PA Primary

Addresses

Primary practice location

1801 Lincoln Way
White Oak, PA 15131-1724

Mailing address

161 Regal CT
Monroeville, PA 15146-4735
Phone (412) 672-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000384 PA Practitioner - Internal Medicine 2567357692 Practice locations: White Oak, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 Lincoln Way
Suite C
White Oak, PA 15131-1603
Phone (412) 672-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD057971LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Way Internal Medicine Internal Medicine PastSince Nov 22, 1996 Accepting new patients
Upmc McKeesport 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740248145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 REGAL CT",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464735",
            "telephone_number": "412-672-9000",
            "fax_number": "412-672-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311724",
            "telephone_number": "412-672-9000",
            "fax_number": "412-672-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTAR",
        "first_name": "MUHAMMAD",
        "middle_name": "AMJAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD057971L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

Verify at the official NPI Registry.