Individual provider Active NPI

Muhammad S Idrees, MD

  • Pediatric Adolescent Medicine Physician
  • Batavia, NY
National Provider Identifier
1073580783
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
001026 Issued in NY
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

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P010001026OtherNYBLUE CHOICE OF ROCHESTER
00525878003OtherNYBC OF WNY
1210879OtherNYINDEPENDENT HEALTH
103440DLOtherNYPREFERRED CARE
02047423MedicaidNY
P03001026OtherNYBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000024 NY Practitioner - Pediatric Medicine 4981881489 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Orchard Community Health Center Inc. CurrentSince Apr 29, 2024 Accepting new patients
Pediatric Associates of Batavia, LLP CurrentSince Apr 25, 2011 Accepting new patients
Oak Orchard Community Health Center Inc CurrentSince Apr 29, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.