Individual provider Active NPI

Mohamed Egal, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Oneonta, NY
National Provider Identifier
1043343726
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
154732 Issued in NY
Practice address
432 Main St
Oneonta, NY 13820-2046
Phone
(607) 433-1001
Fax
(607) 432-8781
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 154732 NY Primary

Addresses

Primary practice location

432 Main St
Oneonta, NY 13820-2046

Mailing address

432 Main St
Oneonta, NY 13820
Phone (607) 433-1001

Other identifiers 1

IdentifierTypeStateIssuer
00809632MedicaidNY

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
I20120222000011 NY Practitioner - General PracticePractitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Gastroenterology 0547428591 Reassigns benefits to 1 organization
Practice locations: Oneonta, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154732NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Apr 1, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 1, 2017 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

438 Main St
Oneonta, NY 13820
Phone (607) 432-2437

1 Norton Ave
Oneonta, NY 13820
Phone (607) 431-5003

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1043343726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "13820",
            "telephone_number": "607-433-1001",
            "fax_number": "607-432-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202046",
            "telephone_number": "607-433-1001",
            "fax_number": "607-432-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAL",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "154732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00809632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.