Shameem Momin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD457878 Issued in PA

Practice address

722 E Butler Pike
Ambler, PA 19002-2310

Phone

(267) 663-8800

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Behavioral HealthGroup PAC ID 0941109730, 31 clinicians

Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norristown, PA
  • NPI 1568567071
  Medicare reassignment Care Compare group NPD
• Eastern Pennsylvania Physician Alliance LLC

  • Neurology Physician
  • Clarion, PA
  • NPI 1902440621
  Medicare reassignment Care Compare group NPD
• Springhouse Psychiatry Professional Corporation

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1649161621
  Medicare reassignment NPD Authorized official
• Uhs of Pennsylvania Inc

  • Psychiatry Physician
  • Ambler, PA
  • NPI 1225128192
  Medicare reassignment NPD
• Uhs of Pennsylvania Inc

  • Psychiatric Hospital
  • Ambler, PA
  • NPI 1295708832

  Psychiatry

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1376804955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 COPPERMILL TRCE APT G",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944739",
            "telephone_number": "804-869-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E BUTLER PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022310",
            "telephone_number": "267-663-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "SHAMEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD457878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne M. Miller, DPT
• Mirage Bodywork LLC
• Susan Mitchell
• John Moderski, RPH
• Tracy L Molloy, CPNP
• Jeannette Cassidy Moore, LCSW
• Tasnim Moosajee, OTR/L
• Tiffany Morey
• Patricia Powers Mueller, M.D.
• Janelle Melissa Murray, MS, OTR/L

• Psychiatry Physician in Ambler, PA
• Providers in Ambler, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.