Active NPI
Hatef Massoumi, M.D.
- Gastroenterology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 221502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02194838 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Montefiore Medical Center | Gastroenterology | Current | Accepting new patients |
| Montefiore Medical Center | Current | 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
- hamassou@montefioredirect.com
- 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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Family Medicine Physician
- Bronx, NY
- NPI 1831140722
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.