Individual provider Active NPI

Stefanie Roxanne Mohabir, P.A

  • Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1568831022
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16825 Issued in TX
Practice address
10868 Kuykendahl Rd Ste E
The Woodlands, TX 77381-2873
Phone
(346) 478-0831
NPI assigned
Sep 15, 2015
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16825 TX Primary
Physician Assistant 363A00000X NY

Addresses

Primary practice location

10868 Kuykendahl Rd Ste E
The Woodlands, TX 77381-2873

Mailing address

10868 Kuykendahl Rd Ste E
The Woodlands, TX 77381-2873
Phone (346) 478-0831

Other practice location 1

1332 Peninsula Blvd
Hewlett, NY 11557-1226
Phone (516) 531-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151202001986 NY Practitioner - Physician Assistant 0446550149 Reassigns benefits to 2 organizations
I20230524000330 TX Practitioner - Physician Assistant 0446550149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

3631 Hempstead Tpke
63A
Levittown, NY 11756-1315
Phone (516) 537-9063

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952

683 Sunrise Hwy
Lynbrook, NY 11563-3246
Phone (516) 441-2155

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 3, 2020 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
Singleton Associates PA Physician Assistant PastSince Sep 23, 2024 Accepting new patients
PM Pediatrics PC Past Accepting new patients
View West Optical Inc Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: stefanie.mohabir.1@25843.direct.athenahealth.com
  • Direct secure messaging: stefanie.mohabir@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: stefaniemohabir@nslijmedgr.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1568831022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10868 KUYKENDAHL RD STE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812873",
            "telephone_number": "346-478-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10868 KUYKENDAHL RD STE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812873",
            "telephone_number": "346-478-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 Peninsula Blvd",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571226",
            "country_code": "US",
            "telephone_number": "516-531-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHABIR",
        "first_name": "STEFANIE",
        "middle_name": "ROXANNE",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16825",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.