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MOWYAD OMER ELAMIN KHALID M.D
NPI 1023540572
Internal Medicine - Rheumatology in Caldwell, NJ

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
526 BLOOMFIELD AVE STE 203, CALDWELL, NJ 07006(973) 547-3514(973) 228-2104 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2024, Sep 29, 2024, Aug 10, 2023 (3 updates tracked since 2023).

About Mowyad Omer Elamin Khalid M.d NPPES

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

MOWYAD OMER ELAMIN KHALID M.D (NPI 1023540572) is an individual rheumatology provider in Caldwell, New Jersey, licensed in New Jersey (25MA11822500) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Aspirus Iron River Hospital & Clinics, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023540572
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMOWYAD OMER ELAMIN KHALIDCredential: M.D
Location Address526 BLOOMFIELD AVE STE 203Caldwell, NJ 07006-5525
Mailing Address526 Bloomfield Ave Ste 203Caldwell, NJ 07006-5525 · (973) 547-3514 · Fax (973) 228-2104
Phone(973) 547-3514
Fax(973) 228-2104
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2017
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1023540572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in NJ · 25MA11822500✔ Licensed in PA · MD481393
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
526 BLOOMFIELD AVE STE 203, Caldwell, NJ 07006
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mowyad Omer Elamin Khalid 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 ID5294002614
PECOS Enrollment IDI20230825001436, I20241002002422
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mowyad Khalid reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Arthritis And Rheumatology Center LLC
Same address
Internal Medicine
526 BLOOMFIELD AVE STE 203
Caldwell, NJ 07006
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1265266530 (973) 547-3514
The Radiology Group Of New Jersey, LLC
28 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621
Capital Health Medical Group
49 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
796 mi
Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1578232849 (715) 445-4801

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
49 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services14 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.
28 services28 patients
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.
19 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Iron River Hospital & Clinics, Inc

Critical Access Hospitals · Iron River, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231318
Location1400 W Ice Lake RoadIron River, MI 49935 · Iron County
Emergency services

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521300
Location201 Hospital RoadEagle River, WI 54521 · Vilas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07006 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

Other Providers at the Same Location NPPES 3

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

MOHAMMED HAMID MD
Internal Medicine
526 BLOOMFIELD AVE STE 203
CALDWELL, NJ 07006
Essex County (973) 547-3514
PRIME ARTHRITIS AND RHEUMATOLOGY CENTER LLC
Internal Medicine
526 BLOOMFIELD AVE STE 203
CALDWELL, NJ 07006
Essex County (973) 547-3514
ESSEX RHEUMATOLOGY LLC
Internal Medicine (Rheumatology)
526 BLOOMFIELD AVE STE 203
CALDWELL, NJ 07006
Essex County (973) 547-3514

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 Mowyad Khalid's NPI number?

The NPI number for Mowyad Khalid is 1023540572. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Mowyad Khalid located?

Mowyad Khalid practices at 526 Bloomfield Ave Ste 203, Caldwell, NJ 07006. The listed phone number is (973) 547-3514.

What is Mowyad Khalid's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mowyad Khalid enrolled in Medicare?

Yes. Mowyad Khalid 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.

Which organizations bill Medicare for Mowyad Khalid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mowyad Khalid reassigns Medicare benefits to 4 organizations: Prime Arthritis And Rheumatology Center LLC (Caldwell, NJ), The Radiology Group Of New Jersey, LLC (Hackettstown, NJ), Capital Health Medical Group (Trenton, NJ) and Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mowyad Khalid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mowyad Khalid accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners and 1 other insurer list Mowyad Khalid 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 Mowyad Khalid affiliated with any hospitals?

According to CMS data, Mowyad Khalid is affiliated with Aspirus Iron River Hospital & Clinics, Inc, Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center and Aspirus Eagle River Hospital.

When was this NPI record last updated?

The NPPES record for Mowyad Khalid was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.