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JACK P. MOURAD M.D. NPI 1912972050


NPI Information

NPI: 1912972050
Provider Name: JACK P. MOURAD, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
226 AUBURN ST
CRANSTON, RI
ZIP 02910
Phone: (401) 461-8450
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Jack P. Mourad, M.D. is a rheumatology internal medicine in Cranston, RI with 38 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Jack P. Mourad, M.D. NPI is 1912972050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

226 AUBURN ST
CRANSTON, RI
ZIP 02910-852
Phone: (401) 461-8450
Fax: (401) 461-8640

The NPI 1912972050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 2/22/2006 and was last updated on 12/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine8219RHODE ISLANDNo
2207RR0500XInternal MedicineRheumatology8219RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007060510MEDICARE PINRHODE ISLAND
29002703MEDICAIDRHODE ISLAND
364476OTHERRHODE ISLANDHARVARD PILGRIM HEALTH CARE
404-01308OTHERRHODE ISLANDUNITED HEALTH CARE
5110179243OTHERRHODE ISLANDRAILROAD MEDICARE
622724OTHERRHODE ISLANDNEIGHBORHOOD HEALTH PLAN
72703-4OTHERRHODE ISLANDBLUECROSS/BLUESHIELD
8F41169MEDICARE UPINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.