Active NPI
Marzuq Mohammad Billah, M.D.
- Nephrology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 74554
- Practice address
- 800 Howard Ave FL 2
New Haven, CT 06519-1369 - Phone
- (203) 785-4184
- NPI assigned
- Mar 28, 2016
- Last updated
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 310065 | NY | |
| Nephrology Physician | 207RN0300X | 310065 | NY | |
| Nephrology Physician | 207RN0300X | 74554 | CT | Primary |
Addresses
Primary practice location
800 Howard Ave FL 2
New Haven, CT 06519-1369
Mailing address
800 Howard Ave FL 2
New Haven, CT 06519-1369
Phone (203) 785-4184
Other practice location 1
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500
Other practice location 2
36 W 60th St
New York, NY 10023-7903
Phone (212) 523-8672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
249 W Main St
Branford, CT 06405-4048
Phone (203) 481-8531
40 Temple St
New Haven, CT 06510-2715
5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 785-4081
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74554 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Nephrology | Current | Accepting new patients |
| Yale University | Internal Medicine | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
800 Howard Ave
Fl 2
New Haven, CT 06519
Phone (203) 214-8043
36 W 60th St
New York, NY 10023
Phone (212) 265-2828
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
Interoperability endpoints
- mbillah639611@direct.ynhh.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Yale Medicine
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
Internal Medicine
-
dba Renal Division of Mount Sinai
- Nephrology Physician
- New York, NY
- NPI 1144581182
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New Haven Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Haven, CT
- NPI 1689640997
Dialysis facility
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1689036774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HOWARD AVE FL 2",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191369",
"telephone_number": "203-785-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOWARD AVE FL 2",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191369",
"telephone_number": "203-785-4184"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 W 60th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100237903",
"country_code": "US",
"telephone_number": "212-523-8672",
"fax_number": "212-265-3416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILLAH",
"first_name": "MARZUQ",
"middle_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "310065",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "310065",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "74554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.