Active NPI
Amgad Mohamed Abdelhady Moussa, MD
- Vascular & Interventional Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 302116
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2190
- NPI assigned
- Jun 29, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 302116 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MTL-2025-025 | GU | |
| Diagnostic Radiology Physician | 2085R0202X | M-2526 | GU |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
303 E 60TH St Apt 24F
New York, NY 10022-1523
Phone (646) 409-7709
Other practice location 1
395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GU, OH
- 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
- Interventional Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315
460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
Hospital & facility affiliations
- Bassett Healthcare
- Guam Regional Medical City
- James Cancer Hospital & Solove Research Institute
- Aurelia Osborn Fox Memorial Hospital
- Cobleskill Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.9 of 100
- Quality
- 81.6
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-2526 | GU | MD | Diagnostic Radiology Physician |
| MTL-2025-025 | GU | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Memorial Hospital | Current | Accepting new patients | |
| Osu Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mskcc Radiology Group | Diagnostic Radiology | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
130 North St
Walton, NY 13856
Phone (607) 865-6541
395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299
395 W 12th Ave
Columbus, OH 43210
Phone (614) 293-8299
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- amoussa23636@mskcc.direct-ci.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1912956814
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1639159692
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
- Critical Access Hospital
- Little Falls, NY
- NPI 1558321919
-
- Critical Access Hospital
- Delhi, NY
- NPI 1891728192
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1972165900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E 60TH ST APT 24F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221523",
"telephone_number": "646-409-7709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2190"
}
],
"practiceLocations": [
{
"address_1": "395 W 12th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101267",
"country_code": "US",
"telephone_number": "614-293-8315",
"fax_number": "614-293-6935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUSSA",
"first_name": "AMGAD",
"middle_name": "MOHAMED ABDELHADY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-29",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "302116",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "MTL-2025-025",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "M-2526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.