MOHAMMAD IRFAN M.D
NPI 1316026016
Internal Medicine in Pikeville, KY

Q: What is Mohammad Irfan's NPI number?

The NPI number for Mohammad Irfan is 1316026016. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Mohammad Irfan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Irfan was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment

911 BYPASS RD, PIKEVILLE, KY 41501(606) 218-3500(606) 218-4697 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mohammad Irfan M.d NPPES

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

MOHAMMAD IRFAN M.D (NPI 1316026016) is an individual internal medicine provider in Pikeville, Kentucky, licensed in Kentucky (48519) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Carepoint Health - Bayonne Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1316026016

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMOHAMMAD IRFANCredential: M.D

Location Address911 BYPASS RDPikeville, KY 41501-1689

Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 218-3500 · Fax (606) 218-4562

Phone(606) 218-3500

Fax(606) 218-4697

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateNovember 3, 2006

Last NPPES UpdateOctober 12, 2015

✔ NPI 1316026016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in KY · 48519✔ Licensed in TX · P2682✔ Licensed in NH · 13400

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

911 BYPASS RD, Pikeville, KY 41501

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Other Identifiers 2

Medicaid30206455NH

Medicare PINRE895502NH

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

Mohammad Irfan 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 ID7214937358

PECOS Enrollment IDI20170126002048

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

Medicare enrollment records show Mohammad Irfan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden State Healthcare Associates, LLC

501 mi

Emergency Medicine

29 E 29TH ST
Bayonne, NJ 07002

Reassigned Medicare billing, New Jersey enrollment
637 clinicians in this Medicare group

NPI 1700014545 (844) 242-7436

Passaic Hospitalist Services, LLC

505 mi

Hospitalist

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
78 clinicians in this Medicare group

NPI 1144903733 (973) 754-2000

Southwest Medical Associates, Inc.

952 mi

Emergency Medicine

1207 S BAILEY ST
Electra, TX 76360

Reassigned Medicare billing, Texas enrollment
155 clinicians in this Medicare group

NPI 1831299122 (940) 495-3981

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

140 services12 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.

67 services23 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

20 services20 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310025

Location29 East 29th StBayonne, NJ 07002 · Hudson County

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310074

Location355 Grand StreetJersey City, NJ 07302 · Hudson County

Emergency services Birthing friendly

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ

1/5 CMS rating

OwnershipProprietary

CMS Certification Number310083

Location300 Central AveEast Orange, NJ 07018 · Essex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

81%98 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ABDEL RAHMAN LATAIFEH MBBS

Internal Medicine (Critical Care Medicine)

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 218-4524

SELINA A. HOLLEY DIETITIAN

Dietitian, Registered

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 218-3500

YOUSOF E ELGARIED MBBS

Internal Medicine (Pulmonary Disease)

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 218-3500

LESLIE A. ARNETT APRN

Nurse Practitioner

911 BYPASS RD, CLINIC 2
PIKEVILLE, KY 41501

Pike County (606) 218-6402

KRISTA CORA DOTSON

Registered Nurse

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 430-2201

AARON RATLIFF PHARMD

Pharmacist

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 218-3576

MICHAEL D LUDLOW APRN

Nurse Practitioner

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 218-3500

PIKEVILLE MEDICAL CENTER, INC.

Nurse Anesthetist, Certified Registered

911 BYPASS RD
PIKEVILLE, KY 41501

Pike County (606) 218-3500

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 Mohammad Irfan's NPI number?

The NPI number for Mohammad Irfan is 1316026016. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Mohammad Irfan located?

Mohammad Irfan practices at 911 Bypass Rd, Pikeville, KY 41501. The listed phone number is (606) 218-3500.

What is Mohammad Irfan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohammad Irfan enrolled in Medicare?

Yes. Mohammad Irfan 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 Mohammad Irfan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Irfan reassigns Medicare benefits to 3 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ), Passaic Hospitalist Services, LLC (Paterson, NJ) and Southwest Medical Associates, Inc. (Electra, TX). 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 Mohammad Irfan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mohammad Irfan affiliated with any hospitals?

According to CMS data, Mohammad Irfan is affiliated with Carepoint Health - Bayonne Medical Center, Jersey City Medical Center and Carewell Health Medical Center.

When was this NPI record last updated?

The NPPES record for Mohammad Irfan was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.