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MUHAMMAD MUSTAFA MEMON MD
NPI 1366129272
Internal Medicine in Rochester, NY

Active since July 03, 2023PECOS Enrolled
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7000(585) 723-7871 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 24, 2026, Aug 12, 2026, Jul 3, 2023 (3 updates tracked since 2023).

About Muhammad Mustafa Memon Md NPPES

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

MUHAMMAD MUSTAFA MEMON MD (NPI 1366129272) is an individual internal medicine provider in Rochester, New York, licensed in New York (345441) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Unity Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366129272
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUHAMMAD MUSTAFA MEMONCredential: MD
Location Address1555 LONG POND RDRochester, NY 14626-4164
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · Fax (585) 922-1011
Phone(585) 723-7000
Fax(585) 723-7871
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 3, 2023
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1366129272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 345441
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.
Also ListedHospitalistTaxonomy 208M00000X · License 345441 (NY)
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-5067 · Fax (585) 922-2908
Location 22 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-9561 · Fax (315) 462-2638

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Muhammad Mustafa Memon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961961735
PECOS Enrollment IDI20260824000621
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

3

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

The Unity Hospital Of Rochester
0.1 mi
General Acute Care Hospital
1555 LONG POND RD
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1760421713 (585) 723-7000
Rochester General Hospital
0.5 mi
Family Medicine
2350 RIDGEWAY AVE
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1356412712 (585) 922-3150
Clifton Springs Sanitarium Co
33 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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.

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070
VATSALA GOVIND KIRTANI M.D.
Internal Medicine (Hematology & Oncology)
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 922-4020

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 Mustafa Memon's NPI number?

The NPI number for Muhammad Mustafa Memon is 1366129272. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Muhammad Mustafa Memon located?

Muhammad Mustafa Memon practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7000.

What is Muhammad Mustafa Memon's specialty?

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

Is Muhammad Mustafa Memon enrolled in Medicare?

Yes. Muhammad Mustafa Memon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Muhammad Mustafa Memon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Mustafa Memon reassigns Medicare benefits to 3 organizations: The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY) and Clifton Springs Sanitarium Co (Clifton Springs, NY). 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 Muhammad Mustafa Memon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Muhammad Mustafa Memon affiliated with any hospitals?

According to CMS data, Muhammad Mustafa Memon is affiliated with Unity Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Mustafa Memon was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.