Organization Active NPI

Syamoq Eldercare, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1912006537
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SYAMOQ ELDERCARE, INC
Practice address
619 Oak St
Ste 645
Cincinnati, OH 45206-1613
Phone
(513) 569-6780
Fax
(513) 789-8491
NPI assigned
Sep 21, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Syed A Moqeeth, MDNPI 1669448171
Title
Owner
Phone
(513) 569-6780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Internal Medicine Physician 207R00000X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

619 Oak St
Ste 645
Cincinnati, OH 45206-1613

Mailing address

PO Box 638196
Cincinnati, OH 45263-8196
Phone (513) 569-6780

Other identifiers 3

IdentifierTypeStateIssuer
2957448MedicaidOH
200903770AMedicaidIN
DP4690OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100208000187 OH Part B Supplier - Clinic/Group Practice 2860599917 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH; Lebanon, OH; Loveland, OH; Maineville, OH; Mason, OH; Morrow, OH

National Provider Directory

National Provider Directory

Locations

3627 Harvey Ave
Cincinnati, OH 45229
Phone (513) 961-1881

4320 Bridgetown Rd
Cincinnati, OH 45211
Phone (513) 240-2625

8097 Hamilton Ave
Mount Healthy, OH 45231
Phone (513) 770-0916

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1912006537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638196",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638196",
            "telephone_number": "513-569-6780",
            "fax_number": "513-789-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 OAK ST",
            "address_2": "STE 645",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061613",
            "telephone_number": "513-569-6780",
            "fax_number": "513-789-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYAMOQ ELDERCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "MOQEETH",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-569-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2957448",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200903770A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DP4690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.