NPIMap

Individual provider Active NPI

Muhammed Bilal, DO

  • Surgery Physician
  • Waynesboro, MS
National Provider Identifier
1275054579
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30073 Issued in MS
Practice address
940 Matthew Dr Ste 5
Waynesboro, MS 39367-2534
Phone
(601) 735-7285
Fax
(601) 735-7288
NPI assigned
Jun 28, 2017
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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
Surgery Physician 208600000X 30073 MS Primary

Addresses

Primary practice location

940 Matthew Dr Ste 5
Waynesboro, MS 39367-2534

Mailing address

940 Matthew Dr Ste 5
Waynesboro, MS 39367-2534
Phone (601) 735-7285

Other practice location 1

950 Matthew Dr
Waynesboro, MS 39367-2590
Phone (601) 735-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108002031 MS Practitioner - General Surgery 4981071776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
William Carey University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

940 Matthew Dr
Suite 5
Waynesboro, MS 39367-2534
Phone (601) 735-7285

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30073MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne General Hospital CurrentSince Aug 2, 2022 Accepting new patients
Wayne General Hospital CurrentSince Aug 2, 2022 Accepting new patients
Wayne General Hospital Past Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospsital Past Accepting new patients

Locations

940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7285

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

951 Matthew Dr
Ste D
Waynesboro, MS 39367
Phone (601) 671-2746

Organizations & group practices 6

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 3

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1275054579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR STE 5",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672534",
            "telephone_number": "601-735-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR STE 5",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672534",
            "telephone_number": "601-735-7285",
            "fax_number": "601-735-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Matthew Dr",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "MS",
            "postal_code": "393672590",
            "country_code": "US",
            "telephone_number": "601-735-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILAL",
        "first_name": "MUHAMMED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "30073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.