DR. GHULAM MUJTABA MD.
NPI 1821277187
Internal Medicine - Gastroenterology in Mount Vernon, OH

Active since November 02, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
503 WOOSTER RD, MOUNT VERNON, OH 43050(740) 326-6552(740) 326-6897 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 20, 2017, Oct 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Ghulam Mujtaba Md. NPPES

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

DR. GHULAM MUJTABA MD. (NPI 1821277187) is an individual gastroenterology provider in Mount Vernon, Ohio, licensed in Ohio (35.097038) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821277187
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GHULAM MUJTABACredential: MD.
Location Address503 WOOSTER RDMount Vernon, OH 43050-1486
Mailing Address60 Messimer DrNewark, OH 43055-3692 · (740) 326-6552 · Fax (740) 326-6897
Fax(740) 326-6897
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 2, 2007
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
NPI 1821277187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in OH · 35.097038 Licensed in IL · 036144414
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
503 WOOSTER RD, Mount Vernon, OH 43050

Secondary Practice Locations 2

Location 1503 Wooster RdMount Vernon, OH 43050-1486 · Phone (740) 326-6552 · Fax (740) 326-6897
Location 21320 West Main StreetNewark, OH 43055 · Phone (220) 564-4137 · Fax (220) 564-4761

Other Identifiers 1

Medicaid0051080OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ghulam Mujtaba Md. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860578887
PECOS Enrollment IDI20180619001565
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
539 services317 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
245 services205 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
216 services216 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
185 services181 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
125 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
120 services80 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290039
Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
503 WOOSTER RD
MOUNT VERNON, OH 43050
Internal Medicine (Gastroenterology)
503 WOOSTER RD
MOUNT VERNON, OH 43050

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 Ghulam Mujtaba's NPI number?

The NPI number for Ghulam Mujtaba is 1821277187. It was assigned to this individual provider in the NPPES registry on November 2, 2007.

Where is Ghulam Mujtaba located?

Ghulam Mujtaba practices at 503 Wooster Rd, Mount Vernon, OH 43050. The listed phone number is (740) 326-6552.

What is Ghulam Mujtaba's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ghulam Mujtaba enrolled in Medicare?

Yes. Ghulam Mujtaba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ghulam Mujtaba affiliated with any hospitals?

According to CMS data, Ghulam Mujtaba is affiliated with Sunrise Hospital And Medical Center, Mountainview Hospital and Saint Rose Dominican Hospitals - Siena Campus.

When was this NPI record last updated?

The NPPES record for Ghulam Mujtaba was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.