Mohammed H Budeir, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

MD031296E Issued in PA

Practice address

1 Medical Center Blvd
Vivacqua Pavilion, Suite 233
Chester, PA 19013-3902

Phone

(610) 447-6090

Fax

(610) 447-6088

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Surgery Physician
  • Chester, PA
  • NPI 1922455443

  Trauma Surgery

  NPD
• Prospect Health Access Network, Inc.

  • Gynecologic Oncology Physician
  • Chester, PA
  • NPI 1134574775
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1699981878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "VIVACQUA PAVILION 233",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-6090",
            "fax_number": "610-447-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "VIVACQUA PAVILION, SUITE 233",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-6090",
            "fax_number": "610-447-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDEIR",
        "first_name": "MOHAMMED",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD031296E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001233713",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alesha K Brownell, CRNA
• Phalashia Sharday Browning, CRNP
• Rita Brunone
• Samantha Bryant
• Johnnie Kormah Bryemah
• Megan Buliano Smith, O.D.
• Asia Bumas
• Jill Bunch Moore, RN
• Jennifer Burgess, M.D.
• Latrice Burgos, BA

• Trauma Surgery Physician in Chester, PA
• Providers in Chester, PA by specialty
• Trauma Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.