NPIMap

Individual provider Active NPI

Tahirul Hoda, M.D.

  • Family Medicine Physician
  • Apalachin, NY
National Provider Identifier
1568469096
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
189935 Issued in NY
Practice address
6889 Route 434
Apalachin, NY 13732-3503
Phone
(607) 625-4843
Fax
(607) 625-4846
NPI assigned
Jun 30, 2005
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 189935 NY Primary
Family Medicine Physician 207Q00000X MD043985L PA

Addresses

Primary practice location

6889 Route 434
Apalachin, NY 13732-3503

Mailing address

6889 Route 434
Apalachin, NY 13732-3503
Phone (607) 625-4843

Other identifiers 2

IdentifierTypeStateIssuer
1249428MedicaidPA
01251514MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070917000274 NY Practitioner - Family Practice 3678667003 Receives reassigned benefits from 1 practitioner
Practice locations: Apalachin, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6843 State Route 434
Suite 2
Apalachin, NY 13732-3503
Phone (607) 625-4843

6889 Route 434
Apalachin, NY 13732-3503

6889 State Route 434
Apalachin, NY 13732-3503
Phone (607) 625-4843

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189935NYMDFamily Medicine Physician
MD043985LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physiciancare PC Past Accepting new patients
Tahirul Hoda Family Medicine PastSince Jan 1, 1990 Accepting new patients
Physiciancare, PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thoda@hiemail.healtheconnections.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1568469096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6889 ROUTE 434",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137323503",
            "telephone_number": "607-625-4843",
            "fax_number": "607-625-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6889 ROUTE 434",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137323503",
            "telephone_number": "607-625-4843",
            "fax_number": "607-625-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODA",
        "first_name": "TAHIRUL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "189935",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD043985L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1249428",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01251514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachin, NY

Sources for this page

Verify at the official NPI Registry.