MUSTAFA BROACHWALA DO
NPI 1396372710
Physical Medicine & Rehabilitation in Baltimore, MD

NPI Status: Active since March 25, 2020

Contact Information

1800 ORLEANS ST
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-5000

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  • Individual
  • Male
  • Physical Medicine & Rehabilitation
  • PECOS Enrolled

About MUSTAFA BROACHWALA

This page provides the complete NPI Profile along with additional information for Mustafa Broachwala, a provider established in Baltimore, Maryland with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1396372710 assigned on March 2020. The practitioner's primary taxonomy code is 208100000X with license number 125076506 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1396372710
Provider Name
MUSTAFA BROACHWALA DO
Gender
Male
Entity Type
Individual
Location Address
1800 ORLEANS ST BALTIMORE, MD 21287
Location Phone
(410) 955-5000
Mailing Address
3249 OAK PARK AVE BERWYN, IL 60402
Is Sole Proprietor?
No
Enumeration Date
03-25-2020
Last Update Date
06-21-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
125076506
License State
IL
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Mustafa Broachwala is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396372710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318667472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 6 + 7 + 4 + 7 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396372710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972861383MRS. ANGELA JEAN POLTRACK CRNP
Individual
Nurse Practitioner (Acute Care)1800 ORLEANS ST JOHNS HOPKINS HOSPITAL - CVSICU
BALTIMORE, MD 21287
(410) 955-4826
1023370673MRS. KIMBERLY ALICE RICE CPNP
Individual
Nurse Practitioner (Pediatrics)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 955-5255
1861700288 RANJIT A VARGHESE MBBS, MS, MHSC
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)1800 ORLEANS ST 3110N-7359B-D3
BALTIMORE, MD 21287
(410) 955-9216
1821349093DR. KHALED MOHSEN AL-OMAR M.B.B.S.
Individual
Student in an Organized Health Care Education/Training Program1800 ORLEANS ST
BALTIMORE, MD 21287
(443) 963-8474
1447353420 AMYNA HUSAIN D.O.
Individual
Pediatrics (Pediatric Emergency Medicine)1800 ORLEANS ST G1514
BALTIMORE, MD 21287
(410) 955-6146
1942480728 DEKEA LITZENDORF PA
Individual
Physician Assistant (Surgical)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 955-2800
1609013598 NANCIANN L KEAN CRNA
Individual
Nurse Anesthetist, Certified Registered1800 ORLEANS ST ACCM- C/O JUANITA TAYLOR
BALTIMORE, MD 21287
(443) 465-3817
1558606970 KIMBERLEE BRIANNE CURTISS LCSW-C
Individual
Social Worker (Clinical)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 502-2958
1164476438 ELIZABETH A. HENDRICKS C.R.N.P.
Individual
Nurse Practitioner1800 ORLEANS ST BLOOMBERG 7218
BALTIMORE, MD 21287
(410) 955-2883
1407894793MRS. DEBORAH E. ARNOLD SMITH CRNP
Individual
Nurse Practitioner (Family)1800 ORLEANS ST BLOOMBERG 7218
BALTIMORE, MD 21287
(410) 502-4937
1841537255JOHNS HOPKINS HOSPITAL
Organization
General Acute Care Hospital (Children)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 502-2958
1760729438 ELSIE W ZIMMERMAN MSN, NNP, B-C
Individual
Nurse Practitioner (Neonatal)1800 ORLEANS ST SUITE 8391
BALTIMORE, MD 21287
(410) 955-5255
1134362999DR. SEAN PHILIP HEFFERNAN MD
Individual
Psychiatry & Neurology (Psychiatry)1800 ORLEANS ST MEYER 1-104
BALTIMORE, MD 21287
(443) 519-6566
1588906473MRS. ALISON R EBERLE CRNP
Individual
Nurse Practitioner (Acute Care)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 955-5570
1871531947 SUJATHA KANNAN MD
Individual
Pediatrics (Pediatric Critical Care Medicine)1800 ORLEANS ST BLOOMBERG CC 6321
BALTIMORE, MD 21287
(410) 955-6412
1477872752 JENNIFER STANSBURY ACNP
Individual
Nurse Practitioner (Acute Care)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 502-1048
1962723189DR. CARA RABIK M.D., PH.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)1800 ORLEANS ST THE BLOOMBERG CHILDRENS CENTER RM 11379
BALTIMORE, MD 21287
(410) 614-5055
1639514433 CHELSEA KUI MCGURRIN WERNSDORFER CRNP
Individual
Nurse Practitioner (Acute Care)1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 955-5000
1619313806 RAYMOND CHEONG
Individual
Student in an Organized Health Care Education/Training Program1800 ORLEANS ST
BALTIMORE, MD 21287
(410) 955-5000
1801233291MRS. JULIE ELIZABETH WILLIAMS NP
Individual
Nurse Practitioner (Neonatal)1800 ORLEANS ST NEONATAL ICU BLOOMBERG 8
BALTIMORE, MD 21287
(410) 955-5255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396372710, enumerated in the NPI registry as an "individual" on March 25, 2020

The provider is located at 1800 Orleans St Baltimore, Md 21287 and the phone number is (410) 955-5000

The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 25, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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