MOHSINAH USMANI MD
NPI 1225425259
Internal Medicine - Endocrinology, Diabetes & Metabolism in Albany, NY

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
63 SHAKER RD STE 201, ALBANY, NY 12204(518) 471-3636 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2021, May 19, 2020 (2 updates tracked since 2020).

About Mohsinah Usmani Md NPPES

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

MOHSINAH USMANI MD (NPI 1225425259) is an individual endocrinology, diabetes & metabolism provider in Albany, New York, licensed in New York (304235) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225425259
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMOHSINAH USMANICredential: MD
Location Address63 SHAKER RD STE 201Albany, NY 12204-1030
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 16, 2015
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
NPI 1225425259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 304235
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
63 SHAKER RD STE 201, Albany, NY 12204

Secondary Practice Locations 4

Location 1University Of Tennessee 910 Madison Ave Ste 1031Memphis, TN 38163-0001 · Phone (901) 448-5814
Location 25 Palisades Dr Ste 200Albany, NY 12205-6433 · Phone (518) 471-3636
Location 3720 Hoosick RdTroy, NY 12180-6673 · Phone (518) 471-3636
Location 42 Empire Dr Ste 100Rensselaer, NY 12144-5730 · Phone (518) 471-3636

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

Mohsinah Usmani 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.

PECOS PAC ID5496076499
PECOS Enrollment IDI20200909000102
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 8

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.
207 services139 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
121 services81 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
121 services81 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.
79 services65 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
48 services28 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.
48 services21 patients

Hospital Affiliations CMS Care Compare 4

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12204 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers58 claims214 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers35 claims65 services$1.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers125 claims125 services$188.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Health Educator
63 SHAKER RD STE 201
ALBANY, NY 12204
Registered Nurse (Diabetes Educator)
63 SHAKER RD STE 201
ALBANY, NY 12204
Internal Medicine
63 SHAKER RD STE 201
ALBANY, NY 12204
Nurse Practitioner (Acute Care)
63 SHAKER RD STE 201
ALBANY, NY 12204
Nurse Practitioner (Family)
63 SHAKER RD STE 201
ALBANY, NY 12204
Health Educator
63 SHAKER RD STE 201
ALBANY, NY 12204
Health Educator
63 SHAKER RD STE 201
ALBANY, NY 12204
Physician Assistant
63 SHAKER RD STE 201
ALBANY, NY 12204

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 Mohsinah Usmani's NPI number?

The NPI number for Mohsinah Usmani is 1225425259. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Mohsinah Usmani located?

Mohsinah Usmani practices at 63 Shaker Rd Ste 201, Albany, NY 12204. The listed phone number is (518) 471-3636.

What is Mohsinah Usmani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mohsinah Usmani enrolled in Medicare?

Yes. Mohsinah Usmani 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.

Is Mohsinah Usmani affiliated with any hospitals?

According to CMS data, Mohsinah Usmani is affiliated with St Peter's Hospital, Columbia Memorial Hospital, Ellis Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Mohsinah Usmani was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.