Individual provider Active NPI

Mustafa Abbas Taquee, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1578069746
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A184365 Issued in CA
Practice address
109 W 27TH St
New York, NY 10001-6208
Phone
(917) 634-5311
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DR.0069088 CO
Psychiatry Physician 2084P0800X A184365 CA Primary

Addresses

Primary practice location

109 W 27TH St
New York, NY 10001-6208

Mailing address

109 W 27TH St
New York, NY 10001-6208
Phone (917) 634-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL, NY, TN, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220701000331 CO Practitioner - Psychiatry 4284980319 Reassigns benefits to 2 organizations
I20220919001924 IL Practitioner - Psychiatry 4284980319 Reassigns benefits to 2 organizations
I20220923002103 NY Practitioner - Psychiatry 4284980319 Reassigns benefits to 1 organization
I20230804002497 TN Practitioner - Psychiatry 4284980319 Reassigns benefits to 1 organization
I20231010002649 CA Practitioner - Psychiatry 4284980319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oakland Univ, William Beaumont School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Ca Psychiatry Services PCGroup PAC ID 9931564267, 45 clinicians

Practice addresses (Care Compare)

100 Pine St
Suite 1250
San Francisco, CA 94111-5235
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184365CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Ca Psychiatry Services PC Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
MCCD NJ Psychiatry Services PLLC Psychiatry PastSince Jun 12, 2022 Accepting new patients

Locations

100 Pine St
Ste 1250
San Francisco, CA 94111
Phone (415) 390-5445

44 Cook St
Ste 100
Denver, CO 80206
Phone (303) 398-7000

2373 Central Park Blvd
Unit 100
Denver, CO 80238
Phone (303) 531-8310

250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-3233

Organizations & group practices 4

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1578069746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "917-634-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "917-634-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAQUEE",
        "first_name": "MUSTAFA",
        "middle_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0069088",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A184365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.