Advanced Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01055878A Issued in IN

Legal business name

ADVANCED NEUROLOGY LLC

Practice address

1551 Sturdy Rd
Valparaiso, IN 46383-7883

Phone

(219) 531-6571

Fax

(219) 462-0765

NPI assigned

Feb 8, 2018

Last updated

Dec 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mahmood Ghiyath Alnahass, MDNPI 1497756720

Title

President

Phone

(219) 531-6571

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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.

• Mahmood Ghiyath Alnahass, MD

  • Neurology Physician
  • Valparaiso, IN
  • NPI 1497756720

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1821597485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GLENCOE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857760",
            "telephone_number": "219-531-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837883",
            "telephone_number": "219-531-6571",
            "fax_number": "219-462-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Dickinson Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463043387",
            "country_code": "US",
            "telephone_number": "219-531-6571",
            "fax_number": "219-462-0765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Willowcreek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685075",
            "country_code": "US",
            "telephone_number": "219-531-6571",
            "fax_number": "219-462-0765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "ALNAHASS",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "GHIYATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-531-6571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01055878A",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IN",
            "license": "01055878A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.