Individual provider Active NPI

Mohamed Elmousely, M.D.

  • Anesthesiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1487651063
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
220955 Issued in NY
Practice address
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone
(845) 431-5629
NPI assigned
Jun 28, 2005
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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 220955 NY Primary

Addresses

Primary practice location

45 Reade PL
Poughkeepsie, NY 12601-3947

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3000

Other identifiers 3

IdentifierTypeStateIssuer
02166296MedicaidNY
CE9959OtherNYRAILROAD MEDICARE GROUP
050083839OtherNYRAILROAD MEDICARE

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
I20040920000910 NY Practitioner - Anesthesiology 0143298943 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Health Anesthesia PLLCGroup PAC ID 1052702883, 49 clinicians

Practice addresses (Care Compare)

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000

243 N Rd
Poughkeepsie, NY 12601-1173

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220955NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 26, 2022 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Feb 10, 2020 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2024 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Feb 10, 2020 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 24, 2022 Accepting new patients
Hudson Health Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jan 1, 1994 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 24, 2022 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
New York University Anesthesiology CurrentSince Oct 26, 2022 Accepting new patients

Locations

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

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

6 Front St
Newburgh, NY 12550

243 North Rd
Poughkeepsie, NY 12601
Phone (845) 471-9410

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: melmousely98294@albanymed.direct-ci.com
  • Direct secure messaging: moe9026@direct.nyp.org

Organizations & group practices 12

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 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1487651063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-431-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMOUSELY",
        "first_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "220955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02166296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CE9959",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050083839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.