Active NPI
Mohamad Rassoul Abu-Nuwar, MD
- Surgery Physician
- Kittanning, PA
National Provider Identifier
1992206437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD478666
- Practice address
- 500 Medical Arts BLDG Ste 540
Kittanning, PA 16201-7137 - Phone
- (724) 543-4942
- NPI assigned
- Feb 21, 2018
- Last updated
- Nov 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD478666 | PA | Primary |
Addresses
Primary practice location
500 Medical Arts BLDG Ste 540
Kittanning, PA 16201-7137
Mailing address
1629 Union Ave Ste 4
Natrona Heights, PA 15065-2134
Phone (724) 671-1161
Other practice location 1
1629 Union Ave Ste 4
Natrona Heights, PA 15065-2134
Phone (724) 671-1161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15718766 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1992206437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 UNION AVE STE 4",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150652134",
"telephone_number": "724-671-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEDICAL ARTS BLDG STE 540",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162017137",
"telephone_number": "724-543-4942"
}
],
"practiceLocations": [
{
"address_1": "1629 Union Ave Ste 4",
"address_purpose": "LOCATION",
"city": "Natrona Heights",
"state": "PA",
"postal_code": "150652134",
"country_code": "US",
"telephone_number": "724-671-1161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABU-NUWAR",
"first_name": "MOHAMAD RASSOUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD478666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15718766",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kittanning, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.