Individual provider Active NPI

Mohammed A. Monzur, M.D.

  • Nephrology Physician
  • Albany, NY
National Provider Identifier
1063404234
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
203395-1 Issued in NY
Practice address
62 Hackett Blvd
Albany, NY 12209-1718
Phone
(518) 434-2244
Fax
(518) 434-4659
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 203395-1 NY Primary

Addresses

Primary practice location

62 Hackett Blvd
Albany, NY 12209-1718

Mailing address

62 Hackett Blvd
Albany, NY 12209-1718
Phone (518) 434-2244

Other identifiers 1

IdentifierTypeStateIssuer
01807309MedicaidNY

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
I20100302000527 NY Practitioner - Nephrology 4587652185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203395-1NYMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: mmonzur@nenephrology.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063404234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091718",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091718",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZUR",
        "first_name": "MOHAMMED",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "203395-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01807309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.