Moinuddin Ahmed


Address: 123 Pike St, Suite 207, Port Jervis, NY 12771-1824
Phone: 8458562244

Moinuddin Ahmed (NPI# 1336133420, PAC ID# 7810897584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1336133420
PAC ID by PECOS 7810897584
Professional Enrollment ID I20040109000652
Full Name Moinuddin Ahmed
Address 123 Pike St
Suite 207
Port Jervis
NY 12771-1824
Phone Number 8458562244
Gender M
Credential MD
Graduation Year 1982
Primary Specialty INTERNAL MEDICINE
Secondary Specialties PULMONARY DISEASE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330135 BON SECOURS COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
123 Pike St, Suite 207, Port Jervis, NY 12771-1824 8458562244

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
MIPS_EC_047_overall Care Plan 94%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 123 PIKE ST
SUITE 207
City PORT JERVIS
State NY
Zip 12771-1824

Physicians in the same zip code

Name Specialty Organization Address
Robert Lehrer Optometry 30 Canal St, Port Jervis, NY 12771-1638
Thomas A Piserchia Orthopedic Surgery 22 Canal St, Port Jervis, NY 12771-1638
Taniesha B Lewis Clinical Social Worker County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Jeffrey A Parker Podiatry 156 Pike St, Port Jervis, NY 12771-1808
Martha M Thomson Nurse Practitioner County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Saeed I Bhatti Psychiatry County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Anne M Glenn Fellenzer Clinical Social Worker County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Jennifer L Rowe Clinical Social Worker County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Charlotte Murphy Psychiatry County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Phil W Bennett Clinical Social Worker County of Orange 146 Pike St, Port Jervis, NY 12771-1808
Find all physicians in zip 12771

Competitor

Search similar physicians

City PORT JERVIS
Zip Code 12771
Specialty INTERNAL MEDICINE
City + Specialty PORT JERVIS + INTERNAL MEDICINE

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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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