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DR. MOHAMED GAMAL MOHAMED M.D
NPI 1245763531
Emergency Medicine in Rochester, NY

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2000(585) 922-2951 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mohamed Gamal Mohamed M.d NPPES

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

DR. MOHAMED GAMAL MOHAMED M.D (NPI 1245763531) is an individual emergency medicine provider in Rochester, New York, licensed in New York (308474) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245763531
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MOHAMED GAMAL MOHAMEDCredential: M.D
Location Address1425 PORTLAND AVERochester, NY 14621-3011
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-2000 · Fax (585) 922-2951
Phone(585) 922-2000
Fax(585) 922-2951
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJuly 8, 2021
NPPES CertifiedJuly 8, 2021
✔ NPI 1245763531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 308474
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1425 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2120 · Fax (315) 359-2806
Location 21555 Long Pond RdRochester, NY 14626-4122 · Phone (585) 723-7005 · Fax (585) 723-7045
Location 3127 North StBatavia, NY 14020-1631 · Phone (585) 343-6030 · Fax (585) 344-7464
Location 42 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1911 · Fax (315) 462-2430

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Mohamed Gamal Mohamed 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 ID547662454
PECOS Enrollment IDI20240219003447
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

2

Medicare enrollment records show Mohamed Mohamed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC
238 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Rwjbh Emergency Medicine Associates, LLC
242 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
105 services98 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

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 Mohamed Mohamed's NPI number?

The NPI number for Mohamed Mohamed is 1245763531. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Mohamed Mohamed located?

Mohamed Mohamed practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2000.

What is Mohamed Mohamed's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mohamed Mohamed enrolled in Medicare?

Yes. Mohamed Mohamed 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 Mohamed Mohamed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Mohamed reassigns Medicare benefits to 2 organizations: Rwjbh Observation Associates LLC (Livingston, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). 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 Mohamed Mohamed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Mohamed accept?

Health plans from Oscar Health list Mohamed Mohamed 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 Mohamed Mohamed affiliated with any hospitals?

According to CMS data, Mohamed Mohamed is affiliated with Trinitas Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamed Mohamed was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.