Individual provider Active NPI

Mahmood Ahmed Shamsi, M.D.

  • Internal Medicine Physician
  • Middlesex, NJ
National Provider Identifier
1437202561
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA5799400 Issued in NJ
Practice address
1273 Bound Brook Rd
Middlesex, NJ 08846-1490
Phone
(732) 563-6630
Fax
(732) 563-6733
NPI assigned
Jan 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA5799400 NJ Primary

Addresses

Primary practice location

1273 Bound Brook Rd
Middlesex, NJ 08846-1490

Mailing address

14 Concord Ave
Piscataway, NJ 08854-5233
Phone (732) 572-8956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20060113000455 NJ Practitioner - Internal Medicine 7618990888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1273 Bound Brook Rd
Middlesex, NJ 08846-1490
Phone (732) 563-6630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA5799400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahmood a.Shamsi,M.D.,P.a. Internal Medicine CurrentSince Sep 14, 1998 Accepting new patients

Locations

1273 Bound Brook Rd
Middlesex, NJ 08846
Phone (732) 563-6630

1273 Bound Brook Rd
Ste 1028
Middlesex, NJ 08846

1273 Bound Brook Rd
Ste 10
Middlesex, NJ 08846
Phone (732) 563-6630

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.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1437202561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CONCORD AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545233",
            "telephone_number": "732-572-8956",
            "fax_number": "732-339-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 BOUND BROOK RD",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461490",
            "telephone_number": "732-563-6630",
            "fax_number": "732-563-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSI",
        "first_name": "MAHMOOD",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA5799400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

Verify at the official NPI Registry.