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DR. KHUZEMA MOHSIN MD
NPI 1326535998
Internal Medicine in Macon, GA

Active since April 18, 2018PECOS Enrolled
89.97/100
CMS Quality Rating
380 HOSPITAL DRIVE, BUILDING A, SUITE 430, MACON, GA 31217(478) 751-0367 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2022, Apr 18, 2018 (2 updates tracked since 2018).

About Dr. Khuzema Mohsin Md NPPES

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

DR. KHUZEMA MOHSIN MD (NPI 1326535998) is an individual internal medicine provider in Macon, Georgia, licensed in Florida (ME151139) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326535998
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KHUZEMA MOHSINCredential: MD
Location Address380 HOSPITAL DRIVE, BUILDING A, SUITE 430Macon, GA 31217
Mailing Address380 Hospital Drive, Building A, Suite 430Macon, GA 31217
Phone(478) 751-0367
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 18, 2018
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1326535998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME151139
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.
380 HOSPITAL DRIVE, BUILDING A, SUITE 430, Macon, GA 31217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Khuzema Mohsin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012344724
PECOS Enrollment IDI20260612001675
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

5

Medicare enrollment records show Khuzema Mohsin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deerfield Beach Physician Services, LLC
167 mi
Internal Medicine
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group
NPI 1366100364 (850) 325-5000
Emergency Medicine Services Of Fl, LLC
518 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Temple Physicians Inc.
680 mi
Internal Medicine
2100 W GIRARD AVE
Philadelphia, PA 19130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
NPI 1124179858 (215) 685-0800
Rwjbh Emergency Medicine Associates, LLC
732 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
Rwjbh Observation Associates LLC
751 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

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 2

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.

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.
27 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

89.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
Improvement Activities40
Cost89.28

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHSIN HAJJAJ M.D.
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DRIVE, BUILDING A, SUITE 430
MACON, GA 31217
Bibb County (478) 751-0367
SHANZAE NAEEM M.D.
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DRIVE, BUILDING A, SUITE 430
MACON, GA 31217
Bibb County (478) 751-0480

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 Khuzema Mohsin's NPI number?

The NPI number for Khuzema Mohsin is 1326535998. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Khuzema Mohsin located?

Khuzema Mohsin practices at 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217. The listed phone number is (478) 751-0367.

What is Khuzema Mohsin's specialty?

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

Is Khuzema Mohsin enrolled in Medicare?

Yes. Khuzema Mohsin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Khuzema Mohsin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khuzema Mohsin reassigns Medicare benefits to 5 organizations: Deerfield Beach Physician Services, LLC (Tallahassee, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL), Temple Physicians Inc. (Philadelphia, PA), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, 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 Khuzema Mohsin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khuzema Mohsin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Khuzema Mohsin 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 Khuzema Mohsin affiliated with any hospitals?

According to CMS data, Khuzema Mohsin is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Khuzema Mohsin was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.