Active NPI
Meena Kumarie Moteelall, M.D.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1528180924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 215704
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7606 - Phone
- (718) 960-1414
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 215704 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 215704 | NY |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7606
Mailing address
1220 Orange Tpke
Monroe, NY 10950-5600
Phone (845) 783-2117
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
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1300
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.27 of 100
- Quality
- 83.84
- Improvement activities
- 40
- Cost
- 77.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215704 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aizer Health , Inc. | Current | Accepting new patients | |
| Orange Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Aizer Health , Inc. | Current | Accepting new patients |
Locations
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242
48 Bakertown Rd
Monroe, NY 10950
Phone (845) 774-1464
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1043589682
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1063480218
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1528941689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1528180924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 ORANGE TPKE",
"city": "MONROE",
"state": "NY",
"postal_code": "109505600",
"telephone_number": "845-783-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-960-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTEELALL",
"first_name": "MEENA",
"middle_name": "KUMARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "215704",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "215704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.