Individual provider Active NPI

Mohammad A. Masroor, M.D.

  • Cardiovascular Disease Physician
  • Savannah, GA
National Provider Identifier
1306994157
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17705 Issued in GA
Practice address
5354 Reynolds St Ste 505
Savannah, GA 31405-6012
Phone
(912) 352-1553
Fax
(912) 355-3528
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17705 GA Primary

Addresses

Primary practice location

5354 Reynolds St Ste 505
Savannah, GA 31405-6012

Mailing address

5354 Reynolds St Ste 505
Savannah, GA 31405-6012
Phone (912) 352-1553

Other identifiers 1

IdentifierTypeStateIssuer
000087744GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100712000045 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476588526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5354 Reynolds St
Suite 505
Savannah, GA 31405-6009

5354 Reynolds St
Suite 505
Savannah, GA 31405-6012
Phone (912) 352-1553

Hospital & facility affiliations

  • St Joseph'S/Candler Home Healthcare, Inc Home health agency, Savannah, GA, CCN 117143
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Medical Specialists PC Cardiovascular Disease CurrentSince Jul 1, 1966 Accepting new patients
Masood Ahmed, M.D., LLC Current Accepting new patients

Locations

5354 Reynolds St
Ste 505
Savannah, GA 31405
Phone (912) 352-1553

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

Organizations & group practices 2

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.

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1306994157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056012",
            "telephone_number": "912-352-1553",
            "fax_number": "912-355-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056012",
            "telephone_number": "912-352-1553",
            "fax_number": "912-355-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASROOR",
        "first_name": "MOHAMMAD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "17705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087744G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.