Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GHULAM MUJTABA MD
NPI 1033845714
Family Medicine - Hospice and Palliative Medicine in Monroe, LA

Q: What is Ghulam Mujtaba's NPI number?

The NPI number for Ghulam Mujtaba is 1033845714. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Q: What is Ghulam Mujtaba's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Q: When was this NPI record last updated?

The NPPES record for Ghulam Mujtaba was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2022PECOS Enrolled

309 JACKSON ST, MONROE, LA 71201(318) 966-1373(318) 966-4543 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 30, 2026, Jun 6, 2025, Jul 26, 2022 (3 updates tracked since 2022).

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About Ghulam Mujtaba Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GHULAM MUJTABA MD (NPI 1033845714) is an individual hospice and palliative medicine provider in Monroe, Louisiana, licensed in Louisiana (353812) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1033845714

Entity TypeIndividualMale

Primary Taxonomy207QH0002X

Provider Legal NameGHULAM MUJTABACredential: MD

Location Address309 JACKSON STMonroe, LA 71201-7407

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (318) 966-1373 · Fax (225) 765-9196

Phone(318) 966-1373

Fax(318) 966-4543

Sole ProprietorYes

Enumeration DateJuly 26, 2022

Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1033845714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

License✔ Licensed in LA · 353812

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedHospitalistTaxonomy 208M00000X · License 353812 (LA)

309 JACKSON ST, Monroe, LA 71201

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ghulam Mujtaba Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA RACHELLE SCHORR DO

Internal Medicine