Active NPI
Mohammad Qasaymeh, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 2487736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RB7273 | Other | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2487736 | NY | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dent Neurologic Group LLP | Neurology With Special Qualifications in Child Neurology | Current | 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
- mohammad.qasaymeh@dent.eclinicaldirectplus.com
- 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.
-
- Neurology Physician
- Amherst, NY
- NPI 1497850911
Neurology With Special Qualifications in Child Neurology
-
- Infusion Therapy Clinic/Center
- Amherst, NY
- NPI 1801946488
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.