NPIMap

Individual provider Active NPI

Mohammad Pasha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • North Franklin, CT
National Provider Identifier
1720030554
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
038915 Issued in CT
Practice address
82 New Park Ave
North Franklin, CT 06254-1807
Phone
(860) 889-7345
Fax
(860) 885-7228
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 038915 CT Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 038915 CT
Diagnostic Radiology Physician 2085R0202X 038915 CT

Addresses

Primary practice location

82 New Park Ave
North Franklin, CT 06254-1807

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Other identifiers 2

IdentifierTypeStateIssuer
038915OtherCTLICENSE NUMBER
001389156MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090126000158 CT Practitioner - Physical Medicine and Rehabilitation 2769411834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians
Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038915CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Orthopedic Group, P.C. CurrentSince Oct 1, 2002 Accepting new patients
Norwich Orthopedic Group, P.C. Physical Medicine & Rehabilitation CurrentSince Oct 1, 2002 Accepting new patients
TJH Medical Services, P.C. Physical Medicine & Rehabilitation Past Accepting new patients
Green Napkin Chefs LLC PastSince Apr 5, 2020 Accepting new patients
Rehabilitation Medicine Associates, P.C. Physical Medicine & Rehabilitation PastSince Jul 27, 2020 Accepting new patients

Locations

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 391-9397

82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345

Interoperability endpoints

  • Direct secure messaging: mohammadpasha@nog.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1720030554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345",
            "fax_number": "860-885-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345",
            "fax_number": "860-885-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHA",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "038915",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CT",
            "license": "038915",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "038915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038915",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001389156",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Franklin, CT

Sources for this page

Verify at the official NPI Registry.