Individual provider Active NPI

Syed Shahzad Mustafa, MD

  • Allergy & Immunology Physician
  • Rochester, NY
National Provider Identifier
1619023223
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
252196 Issued in NY
Practice address
2300 W Ridge Rd
5TH Floor
Rochester, NY 14626-2801
Phone
(585) 922-8350
Fax
(585) 922-3315
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 252196 NY Primary

Addresses

Primary practice location

2300 W Ridge Rd
5TH Floor
Rochester, NY 14626-2801

Mailing address

2300 W Ridge Rd Ste 5
Rochester, NY 14626-2801
Phone (585) 922-8350

Other practice location 1

10 Hagen Dr Ste 330
Rochester, NY 14625-2661
Phone (585) 922-8350

Other practice location 2

12 Leach Rd
Lyons, NY 14489-9732
Phone (315) 946-6075

Other practice location 3

10 Hagen Dr Ste 20
Rochester, NY 14625-2663
Phone (585) 922-8350

Other practice location 4

222 Alexander St
Monroe Court
Rochester, NY 14607-4039
Phone (585) 922-8691

Other identifiers 1

IdentifierTypeStateIssuer
03118994MedicaidNY

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
I20090825000753 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5890840912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

222 Alexander St
Rochester, NY 14607-4039
Phone (585) 922-8210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Allergy & Immunology CurrentSince May 1, 2019 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince May 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Jul 13, 2009 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Jul 13, 2009 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

12 Leach Rd
Lyons, NY 14489
Phone (315) 483-9133

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

10 Hagen Dr
Ste 20
Rochester, NY 14625
Phone (585) 218-9651

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

222 Alexander St
Rochester, NY 14607
Phone (585) 546-3280

10 Hagen Dr
Ste 330
Rochester, NY 14625
Phone (585) 922-9715

Interoperability endpoints

  • Direct secure messaging: smustafa32899@direct.rochesterregional.org

Organizations & group practices 7

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1619023223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W RIDGE RD STE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262801",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W RIDGE RD",
            "address_2": "5TH FLOOR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262801",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hagen Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252661",
            "country_code": "US",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-3315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Leach Rd",
            "address_purpose": "LOCATION",
            "city": "Lyons",
            "state": "NY",
            "postal_code": "144899732",
            "country_code": "US",
            "telephone_number": "315-946-6075",
            "fax_number": "585-922-8355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Hagen Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252663",
            "country_code": "US",
            "telephone_number": "585-922-8350",
            "fax_number": "585-922-8355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Alexander St",
            "address_2": "Monroe Court",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074039",
            "country_code": "US",
            "telephone_number": "585-922-8691",
            "fax_number": "585-922-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "SYED",
        "middle_name": "SHAHZAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "252196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03118994",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.