TASBIRUL MOHAMMED ALAM MD
NPI 1104971589
Family Medicine in Jackson Heights, NY

Active since January 24, 2007PECOS Enrolled
3728 77TH ST, JACKSON HEIGHTS, NY 11372(516) 596-8923 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tasbirul Mohammed Alam Md NPPES

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

TASBIRUL MOHAMMED ALAM MD (NPI 1104971589) is an individual family medicine provider in Jackson Heights, New York, licensed in New York (249805) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104971589
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTASBIRUL MOHAMMED ALAMCredential: MD
Location Address3728 77TH STJackson Heights, NY 11372-6630
Mailing Address915 Split Rock RdPelham, NY 10803-3109 · (516) 596-8923
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateNovember 23, 2011
NPI 1104971589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 249805 Licensed in VA · 0101243624
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3728 77TH ST, Jackson Heights, NY 11372

Other Identifiers 1

Medicaid1104971589NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tasbirul Mohammed Alam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

Nurse Practitioner (Adult Health)
3728 77TH ST
JACKSON HEIGHTS, NY 11372
Family Medicine
3728 77TH ST
JACKSON HEIGHTS, NY 11372
Internal Medicine
3728 77TH ST
JACKSON HEIGHTS, NY 11372
Surgery
3728 77TH ST
JACKSON HEIGHTS, NY 11372
Surgery
3728 77TH ST
JACKSON HEIGHTS, NY 11372
Family Medicine
3728 77TH ST
JACKSON HEIGHTS, NY 11372

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104971589, enumerated as an "individual" on January 24, 2007.

The provider is located at 3728 77TH ST JACKSON HEIGHTS, NY 11372 and the phone number is (516) 596-8923.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.