Individual provider Active NPI

Mohamad Rassoul Abu-Nuwar, MD

  • Surgery Physician
  • Kittanning, PA
National Provider Identifier
1992206437
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD478666 Issued in PA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15718766OtherCAQH

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.

Verify at the official NPI Registry.