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FNU RIDA UL JANNAT MD
NPI 1285218867
Student in an Organized Health Care Education/Training Program in Morgantown, WV

Active since May 10, 2021PECOS Enrolled
101 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4850(304) 598-4871 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Jul 13, 2022, May 10, 2021 (3 updates tracked since 2021).

About Fnu Rida Ul Jannat Md NPPES

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

FNU RIDA UL JANNAT MD (NPI 1285218867) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285218867
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFNU RIDA UL JANNATCredential: MD
Location Address101 STADIUM DRIVEMorgantown, WV 26506-7911
Mailing Address101 Stadium DriveMorgantown, WV 26506-7911 · (304) 598-4850 · Fax (304) 598-4871
Phone(304) 598-4850
Fax(304) 598-4871
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2021
Last NPPES UpdateJuly 13, 20223 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1285218867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 STADIUM DRIVE, Morgantown, WV 26506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fnu Rida Ul Jannat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951837434
PECOS Enrollment IDI20260731001514
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.

Medicare Billing Reassignment

Medicare enrollment records show Fnu Rida Ul Jannat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Complete Care Community Health Center, Inc
2,138 mi
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2928 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1215113964 (323) 266-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AHMED AL-HSSAR
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
MR. MAAN ABDULAZIZ H AWAD
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
RITA L MATULAVICH CRNA
Nurse Anesthetist, Certified Registered
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
MR. RABEA AHMED S BAATYA M.B.B.S
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
MRS. SARA RASUL M.D.
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
WALEED ALRUWAILI M.D.
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE, MORGANTOWN
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
MR. ADNAN SAIFUDDIN M.B.B.S
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
MRS. SUNEEBA JAVED CHATTHA MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fnu Rida Ul Jannat's NPI number?

The NPI number for Fnu Rida Ul Jannat is 1285218867. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Fnu Rida Ul Jannat located?

Fnu Rida Ul Jannat practices at 101 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4850.

What is Fnu Rida Ul Jannat's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fnu Rida Ul Jannat enrolled in Medicare?

Yes. Fnu Rida Ul Jannat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fnu Rida Ul Jannat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fnu Rida Ul Jannat reassigns Medicare benefits to Complete Care Community Health Center, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fnu Rida Ul Jannat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fnu Rida Ul Jannat was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.