Individual provider Active NPI

Mohammed Yousufuddin, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1033137351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216171 Issued in NY
Practice address
1225 Foster Ave
Brooklyn, NY 11230-1607
Phone
(718) 421-1756
Fax
(718) 421-2497
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216171 NY Primary

Addresses

Primary practice location

1225 Foster Ave
Brooklyn, NY 11230-1607

Mailing address

2140 Richmond Rd
Staten Island, NY 10306-2546
Phone (718) 692-4334

Other identifiers 1

IdentifierTypeStateIssuer
01801596MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000799 NY Practitioner - Internal Medicine 6800077496 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1225 Foster Ave
Brooklyn, NY 11230-1607
Phone (718) 421-1756

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000611NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Avenue Medical Care PC Current Accepting new patients
Huda Medical Care PC PastSince Aug 1, 2010 Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

Locations

1225 Foster Ave
Brooklyn, NY 11230
Phone (718) 421-1756

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mohammed.yousufuddin@fosteravenuemedicalcarepc.ehi.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033137351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062546",
            "telephone_number": "718-692-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301607",
            "telephone_number": "718-421-1756",
            "fax_number": "718-421-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSUFUDDIN",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01801596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.