Individual provider Active NPI

Mohammad Hamshow, M.D.

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1720420763
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
290585 Issued in NY
Practice address
948 48TH St FL 3
Brooklyn, NY 11219-2918
Phone
(718) 283-6123
Fax
(718) 283-7102
NPI assigned
Jul 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 290585 NY Primary

Addresses

Primary practice location

948 48TH St FL 3
Brooklyn, NY 11219-2918

Mailing address

948 48TH St FL 3
Brooklyn, NY 11219-2918
Phone (718) 283-6123

Other practice location 1

745 64th St Ste 2
Brooklyn, NY 11220-4753
Phone (718) 283-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20170913002664 NY Practitioner - General Surgery 1557634516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center General Surgery FPPGroup PAC ID 5193893899, 13 clinicians

Practice addresses (Care Compare)

745 64TH St
Brooklyn, NY 11220-4745
Phone (718) 283-7045

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jun 30, 2019 Accepting new patients
Maimonides Medical Center General Surgery FPP Surgery CurrentSince Aug 7, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC Surgical Oncology Associates Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

745 64th St
Brooklyn, NY 11220
Phone (718) 765-2570

745 64th St
Ste 2
Brooklyn, NY 11220
Phone (718) 283-7602

948 48th St
Fl 3
Brooklyn, NY 11219
Phone (718) 283-7403

4813 9th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 283-7470

745 64th St
Ste 3
Brooklyn, NY 11220

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mohammadhamshow@mai.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720420763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 48TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-6123",
            "fax_number": "718-283-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 48TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-6123",
            "fax_number": "718-283-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 64th St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112204753",
            "country_code": "US",
            "telephone_number": "718-283-7602",
            "fax_number": "718-635-6711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMSHOW",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "290585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.