NPIMap

Individual provider Active NPI

Faisal Waseem, M.D

  • Internal Medicine Physician
  • South Richmond Hill, NY
National Provider Identifier
1467560656
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209391 Issued in NY
Practice address
11903 101St Ave
South Richmond Hill, NY 11419-1322
Phone
(718) 441-0184
Fax
(718) 441-8098
NPI assigned
Aug 28, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 209391 NY Primary

Addresses

Primary practice location

11903 101St Ave
South Richmond Hill, NY 11419-1322

Mailing address

11903 101St Ave
South Richmond Hill, NY 11419-1322
Phone (718) 441-0184

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
I20040427001465 NY Practitioner - Internal Medicine 3072500594 Receives reassigned benefits from 1 practitioner
Practice locations: Woodside, NY; South Richmond Hill, NY; Rego Park, NY; Jackson Heights, NY; Forest Hills, NY; Flushing, NY; Elmhurst, NY; East Elmhurst, NY…

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10030 Ditmars Blvd
East Elmhurst, NY 11369-1333
Phone (718) 441-0184

112 -14 Corona Ave
Corona, NY 11368-4022
Phone (718) 441-0184

11903 101St Ave
South Richmond Hill, NY 11419-1322
Phone (718) 441-0184

61 80 Woodhaven Blvd
Rego Park, NY 11374-2742
Phone (718) 441-0184

83 -05 Grand Ave
Elmhurst, NY 11373-4104
Phone (718) 441-0184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Jian Cui, Dermatology, P.C. Past Accepting new patients
Jackson Heights Care Center, LLC Past Accepting new patients
Naeem Chaudhry MD PC PastSince Jun 29, 2022 Accepting new patients
Elmhurst Care Center Inc Past Accepting new patients
VXL Medical Care PC Internal Medicine PastSince Feb 1, 2013 Accepting new patients
Queens Boulevard Extended Care Facility Management LLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: faisalwaseem@whmc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1467560656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191322",
            "telephone_number": "718-441-0184",
            "fax_number": "718-441-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191322",
            "telephone_number": "718-441-0184",
            "fax_number": "718-441-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEEM",
        "first_name": "FAISAL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.