Individual provider Active NPI

Muhammad Shahzad, MD

  • Internal Medicine Physician
  • Passaic, NJ
National Provider Identifier
1245891001
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11483500 Issued in NJ
Practice address
350 Boulevard
Passaic, NJ 07055-2840
Phone
(484) 965-9566
Fax
(484) 965-9567
NPI assigned
Jun 24, 2019
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA11483500 NJ Primary

Addresses

Primary practice location

350 Boulevard
Passaic, NJ 07055-2840

Mailing address

2383 Belmont Ave Apt 1
Bronx, NY 10458-8259
Phone (718) 406-6059

Other practice location 1

St. Barnabas Health 4422 Third Avenue
Bronx, NY 10457
Phone (718) 960-6202 ext. 6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220711001710 NJ Practitioner - Internal Medicine 1759761513 Reassigns benefits to 1 organization
I20231114001828 NM Practitioner - Internal Medicine 1759761513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274

2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.64 of 100Reported as group
Quality
9.4
Improvement activities
40
Cost
82.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11483500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Dec 1, 2024 Accepting new patients
Three Crosses Regional Hospital LLC CurrentSince Nov 1, 2023 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Mar 1, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Dec 1, 2024 Accepting new patients
Western Mountain Hospital Physicians PLLC CurrentSince Oct 14, 2024 Accepting new patients
Three Crosses Regional Hospital LLC Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

2560 Samaritan Dr
Ste 121
Las Cruces, NM 88001

2811 N Main St
Las Cruces, NM 88001
Phone (575) 526-0080

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

Organizations & group practices 7

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 4

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1245891001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 BELMONT AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588259",
            "telephone_number": "718-406-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "484-965-9566",
            "fax_number": "484-965-9567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. Barnabas Health 4422 Third Avenue",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-960-6202 x6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11483500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.