NPIMap

Individual provider Active NPI

Muhammad Mudassar Amin, M.D.

  • Internal Medicine Physician
  • Jamesport, MO
National Provider Identifier
1902834930
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008029327 Issued in MO
Practice address
409 West Auberry Grove
Jamesport, MO 64648
Phone
(660) 684-6252
Fax
(660) 684-6254
NPI assigned
Jun 29, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008029327 MO Primary

Addresses

Primary practice location

409 West Auberry Grove
Jamesport, MO 64648

Mailing address

1600 E Evergreen
Cameron, MO 64429-0557
Phone (816) 632-2101

Other identifiers 1

IdentifierTypeStateIssuer
785000002OtherMOMEDICARE PART B

Other names 1

  • Hafiz Muhammed Mudassar Amin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000464 MO Practitioner - Internal Medicine 6507933397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400

1608 E Evergreen St
Cameron, MO 64429-2400

221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux21
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center Inc CurrentSince Oct 1, 2008 Accepting new patients
Cameron Regional Medical Center Inc Current Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Oct 1, 2008 Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
The Osby Corp. Past Accepting new patients
Hamilton No 1 Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1608 E Evergreen St
Ste D
Cameron, MO 64429
Phone (816) 632-3945

502 S Main St
Gallatin, MO 64640
Phone (660) 663-3751

103 N Davis St
Hamilton, MO 64644
Phone (816) 583-7839

409 W Auberry Grv
Jamesport, MO 64648
Phone (660) 684-6252

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hill Crest ManorHamilton, MO, CCN 265665 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2022
Oct 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Hamilton No 1 Inc

    dba Hill Crest Manor

    • Skilled Nursing Facility
    • Hamilton, MO
    • NPI 1144252149

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1902834930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644290557",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WEST AUBERRY GROVE",
            "city": "JAMESPORT",
            "state": "MO",
            "postal_code": "64648",
            "telephone_number": "660-684-6252",
            "fax_number": "660-684-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "MUHAMMAD",
        "middle_name": "MUDASSAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008029327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "785000002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAFIZ",
            "last_name": "AMIN",
            "middle_name": "MUHAMMED MUDASSAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamesport, MO

Sources for this page

Verify at the official NPI Registry.