DR. GHULAM MUJTABA (MD.) – Gastroenterology Physician, NPI 1821277187

DR. GHULAM MUJTABA (MD.) is a healthcare provider. based in Mount vernon, Ohio. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD.. They hold a License No. 036144414 (IL). The NPI Number for DR. GHULAM MUJTABA (MD.) is 1821277187

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GHULAM MUJTABA (MD.)
NPI
1821277187
Phone
(740) 326-6552
Address
503 Wooster Rd
Enumeration Date
2 November 2007
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027340505
Graduation Year
1999 (27 years ago)
PAC ID
2860578887
Group Practice PAC ID
0840279915
Professional Enrollment ID
I20180619001565
Address ID
NV891693247LA2136XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

863 GASTROENTEROLOGY in OH

Provider Addresses for DR. GHULAM MUJTABA (MD.)

  • 503 Wooster Rd

    Mount Vernon, OH 430501486

    Phone: (740) 326-6552

    Fax: (740) 326-6897

    Type: Location

  • 1320 West Main Street

    Newark, OH 43055

    Phone: (220) 564-4137

    Fax: (220) 564-4761

    Type: Location

  • 60, Messimer Drive, Newark, Licking County, Ohio, 43055, United States

    NEWARK, OH 430553692

    Phone: (740) 326-6552

    Fax: (740) 326-6897

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 187 Open Payments records for all available years, with a total value of $3,554.

Total Amount is formed as General ($3,554) + Research ($0) + Ownership ($0) = $3,554.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,484).

Total Amount

$3,554

General + Research + Ownership

Payments

187

Total payment records

General Amount

$3,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110713000875IGastroenterologyOHTBD
I20180619001565IGastroenterologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes398271$0
99214Established patient office or other outpatient visit, 30-39 minutes262192$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes242139$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes223206$0
99204New patient office or other outpatient visit, 45-59 minutes202202$0
View full utilization report →

Insurance plans in this area (ZIP 43050)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840279915View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
-SC
-NV
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)NV
-NV
Certified Registered Nurse Anesthetist (Crna)TX
P A T H O L O G YCA
Internal Medicine, GastroenterologyNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

How do payers reference DR. GHULAM MUJTABA (MD.)?
For DR. GHULAM MUJTABA (MD.), use NPI 1821277187 as the unique 10-digit identifier.
Is DR. GHULAM MUJTABA (MD.) shown as active in public data?
Registry records indicate DR. GHULAM MUJTABA (MD.) maintains an active NPI.
How would a patient describe DR. GHULAM MUJTABA (MD.)'s focus?
For DR. GHULAM MUJTABA (MD.), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DR. GHULAM MUJTABA (MD.) associated with Mount Vernon?
Public fields place DR. GHULAM MUJTABA (MD.) around Mount Vernon, Ohio. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. GHULAM MUJTABA (MD.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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