Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Urooj Mujtaba, PAC

Individual provider Physician Assistant · NPI 1740578590

Urooj Mujtaba, PAC is a Physician Assistant in Kettering, Ohio. Qualified in 2010, 16 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

4750 Hempstead Station Dr
Kettering, OH 45429
Phone: (800) 875-0136
Fax: (937) 619-4150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1096688 (OH)

Record details

NPI number1740578590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 14, 2011
Last updated in NPPESOctober 3, 2011
Mailing address337c W North Ave, Ada, OH 45810-1801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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