UMME MOBASSERA MD
NPI 1063278604
General Practice in Island Park, NY
About Umme Mobassera Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UMME MOBASSERA MD (NPI 1063278604) is an individual general practice provider in Island Park, New York, licensed in Foreign Country (31451) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Umme Mobassera Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Umme Mobassera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rego Park, NY 11374
- Reassigned Medicare billing, New York enrollment
- 79 clinicians in this Medicare group
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
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 4
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Umme Mobassera's NPI number?
The NPI number for Umme Mobassera is 1063278604. It was assigned to this individual provider in the NPPES registry on February 22, 2024.
Where is Umme Mobassera located?
Umme Mobassera practices at 1 Long Beach Rd, Island Park, NY 11558. The listed phone number is (516) 432-0300.
What is Umme Mobassera's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Umme Mobassera enrolled in Medicare?
Yes. Umme Mobassera 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 Umme Mobassera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Umme Mobassera reassigns Medicare benefits to 2 organizations: Nys Medical Associate PLLC (Rego Park, NY) and Briarwood Medical Services PC (NY). 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 Umme Mobassera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Umme Mobassera was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Umme Mobassera, MD · NPI 1063278604
General Practice physician in Island Park, New York. Individual provider, active in the CMS NPPES registry since February 22, 2024.
## Identity
- **NPI:** 1063278604 (Entity type: Individual)
- **Enumerated:** February 22, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 31451 (ZZ)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 LONG BEACH RD, Island Park, NY 11558-2254
- **Phone:** (516) 432-0300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nys Medical Associate PLLC (NPI 1104268572, Rego Park, NY); Briarwood Medical Services PC (NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** February 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1063278604) · Data from the CMS NPPES public registry.