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DR. ABDUL W MUGHAL M.D.
NPI 1003877440
Internal Medicine - Hematology & Oncology in Trenton, NJ

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
40 FULD ST, SUITE 404, TRENTON, NJ 08638(609) 394-0660(609) 394-1004 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Abdul W Mughal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ABDUL W MUGHAL M.D. (NPI 1003877440) is an individual hematology & oncology provider in Trenton, New Jersey, licensed in New Jersey (MA035907) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1003877440
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ABDUL W MUGHALCredential: M.D.
Location Address40 FULD ST, SUITE 404Trenton, NJ 08638-5247
Mailing Address40 Fuld St, Suite 404Trenton, NJ 08638-5247 · (609) 394-0660 · Fax (609) 394-1004
Phone(609) 394-0660
Fax(609) 394-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateMarch 28, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1003877440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NJ · MA035907
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
40 FULD ST, Trenton, NJ 08638
Open in Google Maps ↗

Other Identifiers 18

Other0084754000NJ · Keystone
Other10004422NJ · United Healthcare
Other3774828NJ · Cigna/hmo
Medicare UPINC53606NJ
Other24478NJ · University
Other33779NJ · Aetna
Other37513NJ · Amergroup
Other866710NJ · Cigna
Other1045647NJ · Horizon Nj Health
OtherF06506NJ · Phs/health Net
Medicaid3091104NJ
Other110004422NJ · Railroad
Other222412781NJ · Horizon Blue Shield
OtherP2541778NJ · Oxford
Other14B10NJ · Empire
Other1045647NJ · Mercy
Other154170NJ · Amerihealth
Medicare ID-Type UnspecifiedMU154710NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Abdul W Mughal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840398061
PECOS Enrollment IDI20070611000696
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services83 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
83 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%370 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
45%364 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCER COUNTY HEMATOLOGY & ONCOLOGY
Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Mercer County (609) 394-0660
NILESH RANA MD
Internal Medicine
40 FULD ST, SUITE 302
TRENTON, NJ 08638
Mercer County (609) 537-7223
CAPITAL HEALTH SURGICAL GROUP
Surgery (Trauma Surgery)
40 FULD ST, SUITE 303
TRENTON, NJ 08638
Mercer County (609) 396-2600
MERCER INTERNISTS P.C.
Internal Medicine
40 FULD ST, STE 302
TRENTON, NJ 08638
Mercer County (609) 393-0067
PULMONARY AND INTERNAL MEDICINE ASSOCIATES PA
Internal Medicine (Pulmonary Disease)
40 FULD ST, SUITE 201
TRENTON, NJ 08638
Mercer County (609) 695-4358
CAPITAL INFECTIOUS DISEASE CONSULTANTS PC
Internal Medicine (Infectious Disease)
40 FULD ST, STE 305
TRENTON, NJ 08638
Mercer County (609) 815-7773
KUN H CHO MD PA
Surgery
40 FULD ST, SUITE 200
TRENTON, NJ 08638
Mercer County (609) 393-3571
DR. RONALD LEE WARREN M.D.
Internal Medicine
40 FULD ST, SUITE 201
TRENTON, NJ 08638
Mercer County (609) 695-4422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdul Mughal's NPI number?

The NPI number for Abdul Mughal is 1003877440. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Abdul Mughal located?

Abdul Mughal practices at 40 Fuld St Suite 404, Trenton, NJ 08638. The listed phone number is (609) 394-0660.

What is Abdul Mughal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Abdul Mughal enrolled in Medicare?

Yes. Abdul Mughal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Abdul Mughal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Abdul Mughal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abdul Mughal affiliated with any hospitals?

According to CMS data, Abdul Mughal is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Abdul Mughal was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.