NPIMap

Individual provider Active NPI

Intikhab Mohsin, MD

  • Anesthesiology Physician
  • Albany, NY
National Provider Identifier
1376544403
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33419 Issued in IA
Practice address
113 Holland Ave
Albany, NY 12208-3410
Phone
(518) 626-5000
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33419 IA Primary

Addresses

Primary practice location

113 Holland Ave
Albany, NY 12208-3410

Mailing address

46 Yorkshire LN
Delmar, NY 12054-1328
Phone (518) 451-9239

Other identifiers 3

IdentifierTypeStateIssuer
1227496MedicaidIA
30117OtherIABLUE CROSS
050083665OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110913000684 NY Practitioner - AnesthesiologyPractitioner - Pain Management 8123124492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, shared by 13 NPIs, 1,054 clinicians

Practice addresses (Care Compare)

391 Myrtle Ave
Suite 1B
Albany, NY 12208-3835
Phone (518) 264-2225

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Anesthesiology CurrentSince Sep 6, 2011 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Albany Medical College CurrentSince Sep 6, 2011 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2016 Accepting new patients
Albany Medical College Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

113 Holland Ave
Albany, NY 12208
Phone (518) 626-5000

25 Hackett Blvd
Ofc 247
Albany, NY 12208

391 Myrtle Ave
Ste 1B
Albany, NY 12208
Phone (518) 264-2225

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

Interoperability endpoints

  • Direct secure messaging: imohsin27461@albanymed.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1376544403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 YORKSHIRE LN",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541328",
            "telephone_number": "518-451-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083410",
            "telephone_number": "518-626-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "INTIKHAB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "33419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227496",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30117",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050083665",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.