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MARIYA MOHIUDDIN MD
NPI 1891580346
Student in an Organized Health Care Education/Training Program in Roseburg, OR

Active since April 14, 2025PECOS Enrolled
150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariya Mohiuddin Md NPPES

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

MARIYA MOHIUDDIN MD (NPI 1891580346) is an individual student in an organized health care education/training program in Roseburg, Oregon, licensed in Oregon (PG225302) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891580346
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIYA MOHIUDDINCredential: MD
Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042
Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042
Phone(541) 672-9596
Sole ProprietorYes
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1891580346 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
License✔ Licensed in OR · PG225302
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.
150 NE KENNETH FORD DR, Roseburg, OR 97470
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariya Mohiuddin 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.

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.

MISHA MARIE PEEL DO
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JUSTIN L JONES DDS
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JOHN TRAVIS MELLING MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
ARIELLE FAITH BURNETT DMD
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
UMPQUA COMMUNITY HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
JORDAN ENDRES DDS
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MIRRANDA RENEE MANDERA CHW
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. OBIAGERI EGEOLU MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596

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 Mariya Mohiuddin's NPI number?

The NPI number for Mariya Mohiuddin is 1891580346. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Mariya Mohiuddin located?

Mariya Mohiuddin practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.

What is Mariya Mohiuddin's specialty?

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

Is Mariya Mohiuddin enrolled in Medicare?

Yes. Mariya Mohiuddin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariya Mohiuddin was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.