Individual provider Active NPI

Abdullah Mohammad Tahir

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1093219347
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
313078-01 Issued in NY
Practice address
7901 Broadway # A1-16
Elmhurst, NY 11373-1329
Phone
(718) 334-2488
NPI assigned
Mar 21, 2018
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 313078-01 NY Primary

Addresses

Primary practice location

7901 Broadway # A1-16
Elmhurst, NY 11373-1329

Mailing address

7901 Broadway # A1-16
Elmhurst, NY 11373-1329
Phone (718) 334-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211008002431 NY Practitioner - HospitalistPractitioner - Internal Medicine 9638419807 Reassigns benefits to 5 organizations
I20221121001933 CO Practitioner - Internal Medicine 9638419807 Reassigns benefits to 1 organization
I20230605002094 NJ Practitioner - Internal Medicine 9638419807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.01 of 100Reported as group
Quality
73.63
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313078-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine CurrentSince Sep 13, 2021 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Sep 13, 2021 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jun 7, 2023 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Jun 22, 2023 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Inpatient Services, PC Internal Medicine Current Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jun 7, 2023 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Nov 30, 2022 Accepting new patients
Inpatient Services, PC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Crystal Run Healthcare Physicians LLP Internal Medicine CurrentSince Jun 22, 2023 Accepting new patients
Maimonides Medical Center Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

65 James St
Edison, NJ 08820
Phone (732) 321-7010

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

300 Community Dr
Manhasset, NY 11030

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

515 Main St
Olean, NY 14760
Phone (716) 373-2600

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 12

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1093219347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY # A1-16",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY # A1-16",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "ABDULLAH",
        "middle_name": "MOHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "313078-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.