Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Muhammad Mustafa Memon's specialty?

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

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: August 30, 2026.

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

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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 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

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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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

FAROOQ CHAUDHARY MD

Student in an Organized Health Care Education/Training Program