Masood H Siddiquee
EASTSIDE INTERNAL MEDICINE, LLC


Address: 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953
Phone: 6786257800

Masood H Siddiquee (NPI# 1871551788, PAC ID# 1153375308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1871551788
PAC ID by PECOS 1153375308
Professional Enrollment ID I20091203000457
Full Name Masood H Siddiquee
Organization Legal Name EASTSIDE INTERNAL MEDICINE, LLC
Address 2080 Eastside Dr
Suite A
Conyers
GA 30013-1953
Phone Number 6786257800
Gender M
Graduation Year 1988
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 7618921867
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110091 PIEDMONT ROCKDALE HOSPITAL
110018 PIEDMONT NEWTON HOSPITAL

Other Locations

Address Phone Organization
2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 6786257800 EASTSIDE INTERNAL MEDICINE, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 99%
ACI_EC_TRANS_HIE_1 Health Information Exchange 26%
ACI_EC_TRANS_PEA_1 Provide Patient Access 64%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 10%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 26%
ACI_EC_TRANS_SM_1 Secure Messaging 42%
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 53%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 97%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 74%
MIPS_EC_113_overall Colorectal Cancer Screening 71%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 99%
MIPS_EC_154_overall Falls: Risk Assessment 100%
MIPS_EC_155_overall Falls: Plan of Care 98%

Organization Information

Organization Legal Name EASTSIDE INTERNAL MEDICINE, LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Farhana Quasem Internal Medicine Eastside Internal Medicine, LLC 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953
Syed Wasim Internal Medicine Eastside Internal Medicine, LLC 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953

Office Location

Street Address 2080 EASTSIDE DR
SUITE A
City CONYERS
State GA
Zip 30013-1953

Physicians in the same location

Name Specialty Organization Address
Farhana Quasem Internal Medicine Eastside Internal Medicine, LLC 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953
Syed Wasim Internal Medicine Eastside Internal Medicine, LLC 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953

Physicians in the same zip code

Name Specialty Organization Address
Roopal A Desa Internal Medicine 3641 Ga Hwy 20 Se, Suite A, Conyers, GA 30013
Ndidi E Madu Family Medicine 1815 Hwy 138 Se, Suite 800, Conyers, GA 30013
Danielle Waters Nurse Practitioner 1810 Hwy 20 Se, Suite 172, Conyers, GA 30013
Douglas Robert Slavin Clinical Psychologist 1807 Over Lake Drive Se, Suite F, Conyers, GA 30013-1709
Linda B Hagan Clinical Social Worker Hagan Ziegler and Associates PC 1814 Lakefield Se Ct, Suite A, Conyers, GA 30013-1776
Kaushik Amin Internal Medicine 2035 Flat Shoals Serd, Conyers, GA 30013-1809
Marlyn Wallace Nurse Practitioner Atlanta Plus Urgent Care 2121 Salem Rd Se, Conyers, GA 30013-1823
Savonia Grant Nurse Practitioner Atlanta Plus Urgent Care 2121 Salem Rd Se, Conyers, GA 30013-1823
Michael Cantrell Podiatry 2202 Salem Rd Se, Suite B, Conyers, GA 30013-1843
Darryl S Gross General Practice 2280 Salem Rd Se, Suite 102, Conyers, GA 30013-2004
Find all physicians in zip 30013

Competitor

Search similar physicians

City CONYERS
Zip Code 30013
Specialty INTERNAL MEDICINE
City + Specialty CONYERS + INTERNAL MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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