Individual provider Active NPI

Mohamed Khalid Munshi, MD

  • Interventional Cardiology Physician
  • East Syracuse, NY
National Provider Identifier
1174841035
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
288105 Issued in NY
Practice address
6700 Kirkville Rd Ste 203
East Syracuse, NY 13057-9313
Phone
(315) 277-2707
Fax
(315) 433-5100
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 288105 NY Primary
Nuclear Cardiology Physician 207UN0901X 288105 NY
Cardiovascular Disease Physician 207RC0000X 288105 NY

Addresses

Primary practice location

6700 Kirkville Rd Ste 203
East Syracuse, NY 13057-9313

Mailing address

6700 Kirkville Rd Ste 203
East Syracuse, NY 13057-9313
Phone (315) 277-2707

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
I20170512000167 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214214667 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
State University of New York Downstate Medical Center, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Feb 15, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 22, 2019 Accepting new patients
Albany Medical College CurrentSince Apr 27, 2020 Accepting new patients
Albany Medical College Cardiovascular Disease CurrentSince Apr 27, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 22, 2019 Accepting new patients
Cardiac Electrophysiology Consultants LLC CurrentSince Jul 1, 2017 Accepting new patients
Tech E-Cardia Inc Cardiovascular Disease CurrentSince Jul 1, 2018 Accepting new patients
Saratoga Hospital CurrentSince Jul 1, 2021 Accepting new patients
Albany Medical College CurrentSince Apr 27, 2020 Accepting new patients
Saratoga Hospital Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Saratoga Hospital Current Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

6700 Kirkville Rd
Ste 203
East Syracuse, NY 13057
Phone (315) 277-2707

810 S 1st St
Fulton, NY 13069
Phone (315) 277-2707

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: mmunshi100687@albanymed.direct-ci.com
  • Direct secure messaging: mmunshi331733@bassett.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1174841035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD STE 203",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579313",
            "telephone_number": "315-277-2707",
            "fax_number": "315-433-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD STE 203",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579313",
            "telephone_number": "315-277-2707",
            "fax_number": "315-433-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSHI",
        "first_name": "MOHAMED KHALID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "288105",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "288105",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "288105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.