Individual provider Active NPI

Muddusir Mohammad Ayaz, M.D.

  • Gastroenterology Physician
  • Rochester, NY
National Provider Identifier
1790164564
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
294263 Issued in NY
Practice address
20 Hagen Dr Ste 330
Rochester, NY 14625-2664
Phone
(585) 267-4040
Fax
(585) 267-4044
NPI assigned
May 26, 2015
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209950 NC
Gastroenterology Physician 207RG0100X 294263 NY Primary

Addresses

Primary practice location

20 Hagen Dr Ste 330
Rochester, NY 14625-2664

Mailing address

260 Leigh Farm
320
Durham, NC 27707
Phone (562) 325-3697

Other practice location 1

103 Canal Landing Blvd Ste 12
Rochester, NY 14626-4181
Phone (585) 227-1080

Other practice location 2

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (562) 325-3697

Other names 1

  • Muddasir Mohammad Ayaz Other name

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
I20181005000336 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6406169200 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Gastroenterology AssociatesGroup PAC ID 3678552973, 10 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

20 Hagen Dr
Suite 330
Rochester, NY 14625-2664
Phone (585) 267-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy271
Upper gastrointestinal (GI) endoscopy for acid reflux222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209950NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jun 7, 2025 Accepting new patients
Rochester Gastroenterology Associates Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 2, 2020 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 2, 2020 Accepting new patients
Nyc Medical of Queens PC Internal Medicine PastSince Mar 9, 2020 Accepting new patients

Locations

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

101 Lincoln Pkwy
East Rochester, NY 14445

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

103 Canal Landing Blvd
Ste 12
Rochester, NY 14626
Phone (585) 227-1080

115 Canal Landing Blvd
Ste 110
Rochester, NY 14626
Phone (585) 227-1080

20 Hagen Dr
Ste 330
Rochester, NY 14625
Phone (585) 267-4040

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD
  • Direct secure messaging: mayaz373475@direct.rochesterregional.org

Organizations & group practices 7

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.

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1790164564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LEIGH FARM",
            "address_2": "320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "562-325-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 330",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-267-4040",
            "fax_number": "585-267-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Canal Landing Blvd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264181",
            "country_code": "US",
            "telephone_number": "585-227-1080",
            "fax_number": "585-723-7709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "562-325-3697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYAZ",
        "first_name": "MUDDUSIR",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "209950",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "294263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUDDASIR",
            "last_name": "AYAZ",
            "middle_name": "MOHAMMAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.