Individual provider Active NPI

Safwat Mosad, M.D

  • Internal Medicine Physician
  • Hauppauge, NY
National Provider Identifier
1104005909
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246059 Issued in NY
Practice address
20 Timber Ridge Dr
Hauppauge, NY 11788-3060
Phone
(631) 539-2247
Fax
(631) 415-4894
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 246059 NY Primary
General Practice Physician 208D00000X 246059 NY

Addresses

Primary practice location

20 Timber Ridge Dr
Hauppauge, NY 11788-3060

Mailing address

20 Timber Ridge Dr
Hauppauge, NY 11788-3060
Phone (631) 539-2247

Other identifiers 1

IdentifierTypeStateIssuer
246059OtherNYLICENSE

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
I20071227000142 NY Practitioner - Internal Medicine 6709976087 Practice locations: Hauppauge, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hauppauge, NY 11788
Phone (631) 539-2247

Merit-based Incentive Payment System (MIPS)

Final score
23.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246059NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicare Multi Services LTD Internal Medicine PastSince Apr 18, 2009 Accepting new patients

Organizations & group practices 1

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1104005909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TIMBER RIDGE DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883060",
            "telephone_number": "631-539-2247",
            "fax_number": "631-415-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TIMBER RIDGE DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883060",
            "telephone_number": "631-539-2247",
            "fax_number": "631-415-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSAD",
        "first_name": "SAFWAT",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246059",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "246059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "246059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.