NPIMap

Individual provider Active NPI

Nadia Mujahid, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Riverside, RI
National Provider Identifier
1982803359
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD13492 Issued in RI
Practice address
375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2212
Phone
(401) 649-4010
Fax
(401) 649-4011
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD13492 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2212

Mailing address

17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Phone (401) 443-4992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000649 RI Practitioner - Geriatric Medicine 2062680234 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4050

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4000

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741

Hospital & facility affiliations

  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Steere House Nursing and Rehabilitation Center Nursing home, Providence, RI, CCN 415091
  • South Kingstown Nurs. & Rehab Ctr Nursing home, West Kingston, RI, CCN 415054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13492RIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine Geriatric Medicine CurrentSince Jul 1, 2011 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Core Clinicals LLC CurrentSince Jun 1, 2025 Accepting new patients
Rhode Island Hospital CurrentSince Jun 4, 2019 Accepting new patients
Brown Medicine CurrentSince Jul 1, 2011 Accepting new patients
Rhode Island Hospital CurrentSince Jun 4, 2019 Accepting new patients
Prime Care LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

593 Eddy St
Providence, RI 02903

17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923

593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

375 Wampanoag Trl
Ste 102
Riverside, RI 02915
Phone (401) 649-4010

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1982803359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIRGINIA AVE",
            "address_2": "SUITE 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054406",
            "telephone_number": "401-443-4992",
            "fax_number": "401-784-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152212",
            "telephone_number": "401-649-4010",
            "fax_number": "401-649-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJAHID",
        "first_name": "NADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "MD13492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.