Individual provider Active NPI

Mohammad Qasaymeh, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Amherst, NY
National Provider Identifier
1528074341
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
2487736 Issued in NY
Practice address
3980 Sheridan Dr
Amherst, NY 14226-1727
Phone
(716) 250-2000
Fax
(716) 250-2040
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2487736 NY Primary

Addresses

Primary practice location

3980 Sheridan Dr
Amherst, NY 14226-1727

Mailing address

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000

Other practice location 1

Child Neurology 601 Elmwood Ave
Box 631
Rochester, NY 14642
Phone (585) 275-6092

Other practice location 2

Child Neurology 601 Elmwood Ave
Box 631
Rochester, NY 14642
Phone (585) 275-6092

Other identifiers 1

IdentifierTypeStateIssuer
RB7273OtherMEDICARE PTAN

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
I20080318000148 NY Practitioner - NeurologyPractitioner - Pediatric Medicine 2860577756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dent Neurologic Group LLPGroup PAC ID 1951298033, 117 clinicians

Practice addresses (Care Compare)

200 Sterling Dr
Orchard Park, NY 14127-1577
Phone (716) 250-2000

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000

Merit-based Incentive Payment System (MIPS)

Final score
44.01 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
80.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2487736NYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dent Neurologic Group LLP Neurology With Special Qualifications in Child Neurology CurrentSince Feb 1, 2014 Accepting new patients
Dent Neuologic Institute Past Accepting new patients

Locations

3980 Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 250-2002

200 Sterling Dr
Orchard Park, NY 14127
Phone (716) 667-8401

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

Interoperability endpoints

  • Direct secure messaging: mohammad.qasaymeh@dent.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1528074341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000",
            "fax_number": "716-250-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000",
            "fax_number": "716-250-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Child Neurology 601 Elmwood Ave",
            "address_2": "Box 631",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-275-6092",
            "fax_number": "585-275-3683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Child Neurology 601 Elmwood Ave",
            "address_2": "Box 631",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14642",
            "country_code": "US",
            "telephone_number": "585-275-6092",
            "fax_number": "585-275-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QASAYMEH",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "2487736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB7273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.