Active NPI
Mohammad Idrees, MD
- Specialist
- McKeesport, PA
National Provider Identifier
1851383855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD033987L
- Practice address
- 1949 Lincoln Way
McKeesport, PA 15131-2401 - Phone
- (412) 672-6800
- Fax
- (412) 672-6801
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD033987L | PA | Primary |
Addresses
Primary practice location
1949 Lincoln Way
McKeesport, PA 15131-2401
Mailing address
1949 Lincoln Way
McKeesport, PA 15131-2401
Phone (412) 672-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103161643 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1851383855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 LINCOLN WAY",
"city": "MCKEESPORT",
"state": "PA",
"postal_code": "151312401",
"telephone_number": "412-672-6800",
"fax_number": "412-672-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 LINCOLN WAY",
"city": "MCKEESPORT",
"state": "PA",
"postal_code": "151312401",
"telephone_number": "412-672-6800",
"fax_number": "412-672-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDREES",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD033987L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103161643",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKeesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.