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MUHAMMAD SAIFULLAH TIWANA
NPI 1366061483
Internal Medicine in Toms River, NJ

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
99 NJ-37, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Apr 9, 2020 (2 updates tracked since 2020).

About Muhammad Saifullah Tiwana NPPES

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

MUHAMMAD SAIFULLAH TIWANA (NPI 1366061483) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25MA11848400) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366061483
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUHAMMAD SAIFULLAH TIWANA
Location Address99 NJ-37Toms River, NJ 08755
Mailing Address99 Nj-37Toms River, NJ 08755 · (732) 557-8000
Phone(732) 557-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 9, 2020
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1366061483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11848400
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.
99 NJ-37, Toms River, NJ 08755
Open in Google Maps ↗

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

Muhammad Saifullah Tiwana 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 ID1759725237
PECOS Enrollment IDI20240223001197
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 Reassignment

Medicare enrollment records show Muhammad Tiwana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rwjbh Emergency Medicine Associates, LLC
43 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 5

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
301 services125 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.
142 services91 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.
94 services91 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.
59 services59 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 20

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

ASHLEY ASENSIO DO
Emergency Medicine
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (610) 790-4838
THOMAS GERARD FULCINITI
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
KEVIN JOSEPH EDGEWORTH PA-C
Physician Assistant
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
CANDICE NICOLE TATE
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
MILAN B PATEL
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SHEALIN DONOVAN
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
CHRISTOPHER KESHISHIAN
Student in an Organized Health Care Education/Training Program
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
JEAN ELIZABETH SCOFI MD, MBA
Emergency Medicine
99 NJ-37
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000

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 Muhammad Tiwana's NPI number?

The NPI number for Muhammad Tiwana is 1366061483. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Muhammad Tiwana located?

Muhammad Tiwana practices at 99 Nj-37, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Muhammad Tiwana's specialty?

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

Is Muhammad Tiwana enrolled in Medicare?

Yes. Muhammad Tiwana 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 organization bills Medicare for Muhammad Tiwana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Tiwana reassigns Medicare benefits to Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). The 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 Muhammad Tiwana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Tiwana accept?

Health plans from Oscar Health list Muhammad Tiwana 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 Muhammad Tiwana affiliated with any hospitals?

According to CMS data, Muhammad Tiwana is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Muhammad Tiwana was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.