NPIMap

Organization Active NPI

Wall Street Medical Group Inpatient Services LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
National Provider Identifier
1992312862
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC
Practice address
443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone
(502) 525-4376
Fax
(440) 332-3844
NPI assigned
Sep 25, 2020
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Muhammad Masroor, MDNPI 1043216971
Title
Director/Owner
Phone
(502) 500-8809

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

443 Spring St Ste 200
Jeffersonville, IN 47130-4494

Mailing address

443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone (502) 525-4376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026002684 IN Part B Supplier - Clinic/Group Practice 3274953526 Receives reassigned benefits from 14 practitioners
Practice locations: Jeffersonville, IN; Scottsburg, IN; New Albany, IN; Clarksville, IN

National Provider Directory

National Provider Directory

Locations

443 Spring St
Jeffersonville, IN 47130

443 Spring St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-8375

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1992312862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "502-525-4376",
            "fax_number": "440-332-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "502-525-4376",
            "fax_number": "440-332-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MASROOR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "502-500-8809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.