NPIMap

Individual provider Active NPI

Mushtaq Ali Syed, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Indiana, PA
National Provider Identifier
1649230855
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD060866L Issued in PA
Practice address
1265 Wayne Ave Ste 103
Indiana, PA 15701-3501
Phone
(724) 463-1048
Fax
(724) 463-1049
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 33330 AZ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD060866L PA Primary

Addresses

Primary practice location

1265 Wayne Ave Ste 103
Indiana, PA 15701-3501

Mailing address

1265 Wayne Ave Ste 103
Indiana, PA 15701-3501
Phone (724) 463-1048

Other identifiers 2

IdentifierTypeStateIssuer
1021506810001MedicaidPA
32624300MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000246 PA Practitioner - Internal MedicinePractitioner - Endocrinology 4183676166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armstrong County Memorial HospitalGroup PAC ID 9335051663, 48 clinicians
Indiana Diabetes and EndocrinologyGroup PAC ID 1254660202, 3 clinicians

Practice addresses (Care Compare)

102 S St
New Bethlehem, PA 16242-1238
Phone (814) 275-2264

116 Main St
Leechburg, PA 15656-1333
Phone (724) 845-1211

1265 Wayne Ave
Indiana, PA 15701-3501
Phone (724) 463-1048

2255 Philadelphia St
Indiana, PA 15701-1595

600 Medical Arts BLDG
Suite 640
Kittanning, PA 16201-7134
Phone (724) 543-8577

Hospital & facility affiliations

  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060866LPAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Run Medical Associates Inc CurrentSince Jul 1, 2010 Accepting new patients
Indiana Diabetes & Endocrinology Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2019 Accepting new patients
Glade Run Medical Associates, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Jun 16, 2024 Accepting new patients
Armstrong County Memorial Hospital CurrentSince Jun 16, 2024 Accepting new patients
Glade Run Medical Associates Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Mojave Diabetes and Endocrinology Endocrinology, Diabetes & Metabolism PastSince Jan 1, 2005 Accepting new patients
Irmc/BHS Multispecialty Physician Group Inc Past Accepting new patients

Locations

2255 Philadelphia St
Indiana, PA 15701
Phone (724) 349-1616

1265 Wayne Ave
Ste 103
Indiana, PA 15701
Phone (724) 349-8280

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

600 Medical Arts Bldg
Ste 640
Kittanning, PA 16201
Phone (724) 543-8577

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

Interoperability endpoints

  • Direct secure messaging: mushtaq.syed@1ah.eclinicaldirectplus.com

Organizations & group practices 9

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1649230855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 103",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-1048",
            "fax_number": "724-463-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 103",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-1048",
            "fax_number": "724-463-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "MUSHTAQ",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "33330",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD060866L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021506810001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32624300",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.