Individual provider Active NPI

Wali Mohammad, M.D.

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1437159548
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
135344 Issued in NY
Practice address
2880 Baisley Ave
Bronx, NY 10461-6117
Phone
(718) 918-9158
Fax
(718) 822-3990
NPI assigned
Jul 29, 2005
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 135344 NY Primary

Addresses

Primary practice location

2880 Baisley Ave
Bronx, NY 10461-6117

Mailing address

2880 Baisley Ave
Bronx, NY 10461-6117
Phone (718) 918-9158

Other identifiers 1

IdentifierTypeStateIssuer
00390565MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000204 NY Practitioner - Psychiatry 4284691767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2880 Baisley Ave
Bronx, NY 10461-6117
Phone (718) 918-9158

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.75
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jun 1, 2017 Accepting new patients
Wali Mohammad, M.D., P.C. Psychiatry CurrentSince Aug 1, 1982 Accepting new patients
My Therapist LCSW, PLLC PastSince Jul 1, 1999 Accepting new patients

Locations

2880 Baisley Ave
Bronx, NY 10461
Phone (718) 918-9158

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

9876 Queens Blvd
Rego Park, NY 11374
Phone (718) 918-9158

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: wali.mohammad@walimohammad.direct.emds.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1437159548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 BAISLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616117",
            "telephone_number": "718-918-9158",
            "fax_number": "718-822-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 BAISLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616117",
            "telephone_number": "718-918-9158",
            "fax_number": "718-822-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "WALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "135344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00390565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.