Individual provider Active NPI

Hatef Massoumi, M.D.

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1619027364
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
221502 Issued in NY
Practice address
1250 Waters PL
Suite 1201
Bronx, NY 10461-2720
Phone
(718) 239-0115
Fax
(718) 239-0446
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 221502 NY Primary

Addresses

Primary practice location

1250 Waters PL
Suite 1201
Bronx, NY 10461-2720

Mailing address

1250 Waters PL
Suite 1201
Bronx, NY 10461-2720
Phone (718) 239-0115

Other identifiers 1

IdentifierTypeStateIssuer
02194838MedicaidNY

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
I20071106000333 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3971690009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

261 E 78TH St
FL 4
New York, NY 10075-1216
Phone (646) 374-0401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Sep 14, 2022 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 14, 2022 Accepting new patients
Montefiore Medical Center Gastroenterology CurrentSince Jul 9, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jul 9, 2017 Accepting new patients
Doctor Medical of Ny PC Past Accepting new patients
North Shore University Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

1621 Eastchester Rd
Bronx, NY 10461

1250 Waters Pl
Ste 1201
Bronx, NY 10461
Phone (718) 239-0115

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

354 Fort Washington Ave
New York, NY 10033
Phone (212) 781-0100

261 E 78th St
Fl 4
New York, NY 10075
Phone (212) 517-3300

300 Community Dr
Plandome, NY 11030

688 White Plains Rd
Ste 222
Scarsdale, NY 10583
Phone (914) 725-9115

Networks

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

Interoperability endpoints

  • Direct secure messaging: hamassou@montefioredirect.com
  • Direct secure messaging: hmassoumi66609@northwell.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1619027364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-239-0115",
            "fax_number": "718-239-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-239-0115",
            "fax_number": "718-239-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUMI",
        "first_name": "HATEF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "221502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02194838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.