NPIMap

Individual provider Active NPI

Mowyad Omer Elamin Khalid, M.D

  • Rheumatology Physician
  • Caldwell, NJ
National Provider Identifier
1023540572
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA11822500 Issued in NJ
Practice address
526 Bloomfield Ave Ste 203
Caldwell, NJ 07006-5525
Phone
(973) 547-3514
Fax
(973) 228-2104
NPI assigned
Apr 3, 2017
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD481393 PA
Rheumatology Physician 207RR0500X 25MA11822500 NJ Primary

Addresses

Primary practice location

526 Bloomfield Ave Ste 203
Caldwell, NJ 07006-5525

Mailing address

526 Bloomfield Ave Ste 203
Caldwell, NJ 07006-5525
Phone (973) 547-3514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mkhalid@primearcenter.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230825001436 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 5294002614 Reassigns benefits to 3 organizations
I20241002002422 WI Practitioner - RheumatologyPractitioner - Internal Medicine 5294002614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Arthritis and Rheumatology Center LLCGroup PAC ID 1456882976, 2 clinicians

Practice addresses (Care Compare)

2251 N Shore Dr
Rhinelander, WI 54501-6710

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140

526 Bloomfield Ave
Suite 203
Caldwell, NJ 07006-5525
Phone (973) 547-3514

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11822500NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 19, 2024 Accepting new patients
Prime Arthritis and Rheumatology Center LLC Rheumatology CurrentSince Sep 1, 2024 Accepting new patients
Essex Rheumatology LLC Rheumatology CurrentSince Sep 5, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 19, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

526 Bloomfield Ave
Ste 203
Caldwell, NJ 07006
Phone (973) 547-3514

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGHFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGHFDD/Endpoint/AGHFDD
  • Direct secure messaging: mkhalid@primearcenter.com
  • Direct secure messaging: mkhalid1310805@ahs.direct-ci.com
  • Direct secure messaging: mkhalid239251@direct.aspirus.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1023540572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BLOOMFIELD AVE STE 203",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065525",
            "telephone_number": "973-547-3514",
            "fax_number": "973-228-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BLOOMFIELD AVE STE 203",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065525",
            "telephone_number": "973-547-3514",
            "fax_number": "973-228-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "MOWYAD",
        "middle_name": "OMER ELAMIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD481393",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA11822500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mkhalid@primearcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "526 Bloomfield Ave Ste 203",
            "city": "Caldwell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070065525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.