Active NPI
Mohsen S Alshamam, MD
- Internal Medicine Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1403521510
- Practice address
- 8268 164TH St
Jamaica, NY 11432-1121 - Phone
- (718) 883-3177
- NPI assigned
- Mar 28, 2019
- Last updated
- Jul 10, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1403521510 | NY | Primary |
Addresses
Primary practice location
8268 164TH St
Jamaica, NY 11432-1121
Mailing address
17203 Highland Ave FL 1
Jamaica, NY 11432-2861
Phone (929) 386-7028
Other practice location 1
8268 164th St
Jamaica, NY 11432-1121
Phone (718) 883-3177
Other practice location 2
50 LeRoy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malshamam352902@direct.rochesterregional.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, NY
- 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
- Hospitalist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massena Hospital Inc
Practice addresses (Care Compare)
1 Hospital Dr
Massena, NY 13662-1056
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000
50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1403521510 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Gouverneur Hospital | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Gouverneur Hospital | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Port Emergency Medical Services, P.C. | Current | Accepting new patients | |
| Episcopal Health Services Inc | Past | Accepting new patients |
Locations
3011 American Way
Missoula, MT 59808
Phone (406) 546-8745
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- malshamam352902@direct.rochesterregional.org
- malshamam854017@nychhc.direct-ci.com
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
dba Gouverneur Hospital, Inc. Medical Professional Group
- Critical Access Hospital
- Gouverneur, NY
- NPI 1295156412
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Internal Medicine
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Critical Access Hospital
- Gouverneur, NY
- NPI 1629409925
-
dba St John's Episcopal Hospital SS
- General Acute Care Hospital
- Far Rockaway, NY
- NPI 1346274537
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1710448113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17203 HIGHLAND AVE FL 1",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322861",
"telephone_number": "929-386-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8268 164TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321121",
"telephone_number": "718-883-3177"
}
],
"practiceLocations": [
{
"address_1": "8268 164th St",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114321121",
"country_code": "US",
"telephone_number": "718-883-3177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 LeRoy St",
"address_purpose": "LOCATION",
"city": "Potsdam",
"state": "NY",
"postal_code": "136761786",
"country_code": "US",
"telephone_number": "315-265-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSHAMAM",
"first_name": "MOHSEN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1403521510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malshamam352902@direct.rochesterregional.org",
"affiliation": "N",
"address_1": "50 LeRoy St",
"city": "Potsdam",
"state": "NY",
"country_code": "US",
"postal_code": "136761786",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.