Individual provider Active NPI

Muhammad Khurram Perwaiz

  • Internal Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1902044464
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265040 Issued in NY
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000078 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0042480204 Reassigns benefits to 4 organizations
Practice locations: Dix Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amityville Pulmonology PLLCGroup PAC ID 2567471139, 11 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003510NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amityville Pulmonology PLLC CurrentSince Jun 1, 2022 Accepting new patients
CHS Physician Partners, P.C CurrentSince Oct 4, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 23, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Good Samaritan Hospital Medical CurrentSince Nov 19, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 23, 2020 Accepting new patients
CHS Physician Partners, PC CurrentSince Oct 4, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.