Active NPI
Muhammad S Idrees, MD
- Pediatric Adolescent Medicine Physician
- Batavia, NY
National Provider Identifier
1073580783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 001026
- Practice address
- 319 W Main St
Batavia, NY 14020-1347 - Phone
- (585) 599-6446
- Fax
- (585) 637-4990
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 001026 | NY | Primary |
Addresses
Primary practice location
319 W Main St
Batavia, NY 14020-1347
Mailing address
300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010001026 | Other | NY | BLUE CHOICE OF ROCHESTER |
| 00525878003 | Other | NY | BC OF WNY |
| 1210879 | Other | NY | INDEPENDENT HEALTH |
| 103440DL | Other | NY | PREFERRED CARE |
| 02047423 | Medicaid | NY | |
| P03001026 | Other | NY | BLUE CROSS OF ROCHESTER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Orchard Community Health Center Inc. | Current | Accepting new patients | |
| Pediatric Associates of Batavia, LLP | Current | Accepting new patients | |
| Oak Orchard Community Health Center Inc | Current | Accepting new patients | |
| United Memorial Medical Center | Past | Accepting new patients | |
| Pediatric and Adolescent Urgent Care of Western New York | Past | Accepting new patients |
Locations
43 Batavia City Ctr
#A
Batavia, NY 14020
Phone (585) 343-7117
319 W Main St
Batavia, NY 14020
Phone (585) 599-6446
300 West Ave
Brockport, NY 14420
Phone (585) 637-3905
Interoperability endpoints
- muhammad.idrees@oochc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Brockport, NY
- NPI 1598707812
-
- Pediatrics Physician
- Batavia, NY
- NPI 1790986032
-
- Federally Qualified Health Center (FQHC)
- Albion, NY
- NPI 1407453244
-
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1922300516
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1073580783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WEST AVE",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144201118",
"telephone_number": "585-637-3905",
"fax_number": "585-637-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 W MAIN ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201347",
"telephone_number": "585-599-6446",
"fax_number": "585-637-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDREES",
"first_name": "MUHAMMAD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "001026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE OF ROCHESTER",
"identifier": "P010001026",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF WNY",
"identifier": "00525878003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1210879",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103440DL",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02047423",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ROCHESTER",
"identifier": "P03001026",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.