Active NPI
Mimoza Meholli, M.D.
- Critical Access Hospital
- Bronx, NY
National Provider Identifier
1316175896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 253511
- Practice address
- 1400 Pelham Pkwy S
Building 1, 3N Medicine Department
Bronx, NY 10461-1138 - Phone
- (718) 918-6007
- NPI assigned
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 253511 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Building 1, 3N Medicine Department
Bronx, NY 10461-1138
Mailing address
1400 Pelham Pkwy S
Building 1, 3N Medicine Department
Bronx, NY 10461-1138
Phone (718) 918-6007
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110408000472 | NY | Order and Referring Only - Critical Care (Intensivists) | 1658555040 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- mmeholli839234@nychhc.direct-ci.com
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.
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1316175896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 1, 3N MEDICINE DEPARTMENT",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 1, 3N MEDICINE DEPARTMENT",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHOLLI",
"first_name": "MIMOZA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NY",
"license": "253511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.