Active NPI
Muhammad Khurram Perwaiz
- Internal Medicine Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 265040
- Practice address
- Stony Brook Medical Ctr
HSC T17-040
Stony Brook, NY 11794-8172 - Phone
- (631) 444-1776
- NPI assigned
- Jan 21, 2009
- Last updated
- Dec 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 265040 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 003510 | NY |
Addresses
Primary practice location
Stony Brook Medical Ctr
HSC T17-040
Stony Brook, NY 11794-8172
Mailing address
PO Box 1554
Stony Brook, NY 11790-0988
Phone (646) 764-5325
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Broadway
Suite a
Amityville, NY 11701-2770
Phone (631) 598-5864
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (631) 598-5864
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003510 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amityville Pulmonology PLLC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
317 Broadway
Ste A
Amityville, NY 11701
Phone (631) 598-5864
500 Commack Rd
Unit 150D
Commack, NY 11725
Phone (318) 644-4996
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
546 Montauk Hwy
West Islip, NY 11795
Phone (631) 598-5864
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mperwaiz1374302@nychhc.direct-ci.com
Organizations & group practices 11
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.
-
- Pulmonary Disease Physician
- Amityville, NY
- NPI 1154423622
-
dba Mount Sinai Elmhurst Faculty practice Group
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Roslyn, NY
- NPI 1881825701
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
dba Elmhurst Hospital Center
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba Elmhurst Hospital Center
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449964800000",
"number": "1902044464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1554",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900988",
"telephone_number": "646-764-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK MEDICAL CTR",
"address_2": "HSC T17-040",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948172",
"telephone_number": "631-444-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERWAIZ",
"first_name": "MUHAMMAD",
"middle_name": "KHURRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2015-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "265040",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "003510",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; 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.