Active NPI
Maitham Ammory Moslim Moslim, M.D.
- Surgical Oncology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 337815
- Practice address
- 1415 Portland Ave Ste 245
Rochester, NY 14621-3022 - Phone
- (585) 922-5973
- NPI assigned
- Jun 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35127433 | OH | |
| Surgery Physician | 208600000X | 337815 | NY | |
| Surgical Oncology Physician | 2086X0206X | 337815 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice location 1
12623 Eckel Junction Rd Ste 2600
Perrysburg, OH 43551-1304
Phone (567) 368-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Portland Ave
Rochester, NY 14621-3038
Phone (585) 922-0390
Hospital & facility affiliations
- Rochester General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.7 of 100
- Quality
- 91.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337815 | NY | MD | Surgery Physician |
| 35127433 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Surgery | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Surgery | Current | Accepting new patients |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715
12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434
12623 Eckel Junction Rd
Ste 2600
Perrysburg, OH 43551
Phone (567) 368-1490
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
Interoperability endpoints
- mmoslim419257@direct.rochesterregional.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1871932822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-5973"
}
],
"practiceLocations": [
{
"address_1": "12623 Eckel Junction Rd Ste 2600",
"address_purpose": "LOCATION",
"city": "Perrysburg",
"state": "OH",
"postal_code": "435511304",
"country_code": "US",
"telephone_number": "567-368-1490",
"fax_number": "567-368-1478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSLIM",
"first_name": "MAITHAM",
"middle_name": "AMMORY MOSLIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-21",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35127433",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "337815",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "337815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.