Individual provider Active NPI

Meena Kumarie Moteelall, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1528180924
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
215704 Issued in NY
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

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820010987 NY Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 3870808793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Emergency Services PCGroup PAC ID 4880853183, 30 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
215704NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Jul 5, 2021 Accepting new patients
Orange Emergency Services PC Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Aizer Health , Inc. CurrentSince Jul 5, 2021 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.

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

Verify at the official NPI Registry.