DR. MUHAMMAD BILAL QASIM MD
NPI 1386103240
Internal Medicine in Englewood, NJ

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
350 ENGLE ST # 256, ENGLEWOOD, NJ 07631(201) 894-3364 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2024, Jun 2, 2023, Mar 19, 2019 (3 updates tracked since 2019).

About Dr. Muhammad Bilal Qasim Md NPPES

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

DR. MUHAMMAD BILAL QASIM MD (NPI 1386103240) is an individual internal medicine provider in Englewood, New Jersey, licensed in New Jersey (25MA11410000) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains a secondary practice location in Brooksville.

NPPES Registry Identity

NPI1386103240
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MUHAMMAD BILAL QASIMCredential: MD
Location Address350 ENGLE ST # 256Englewood, NJ 07631-1808
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409 · (352) 579-2755 · Fax (352) 591-6317
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2019
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1386103240 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 NJ · 25MA11410000
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.
350 ENGLE ST # 256, Englewood, NJ 07631

Secondary Practice Location 1

Location 111375 Cortez BlvdBrooksville, FL 34613-5409 · Phone (352) 592-2755 · Fax (352) 592-2753

Accepted 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

Dr. Muhammad Bilal Qasim Md 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 ID4688040827
PECOS Enrollment IDI20221013000900
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 Qasim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group

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.
799 services327 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.
256 services247 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.
156 services97 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.
50 services50 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine
350 ENGLE ST # 256
ENGLEWOOD, NJ 07631
Internal Medicine
350 ENGLE ST # 256
ENGLEWOOD, NJ 07631
Family Medicine
350 ENGLE ST # 256
ENGLEWOOD, NJ 07631
Internal Medicine (Endocrinology, Diabetes & Metabolism)
350 ENGLE ST # 256
ENGLEWOOD, NJ 07631
Internal Medicine
350 ENGLE ST # 256
ENGLEWOOD, NJ 07631
Internal Medicine
350 ENGLE ST # 256
ENGLEWOOD, NJ 07631

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 Qasim's NPI number?

The NPI number for Muhammad Qasim is 1386103240. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Muhammad Qasim located?

Muhammad Qasim practices at 350 Engle St # 256, Englewood, NJ 07631. The listed phone number is (201) 894-3364.

What is Muhammad Qasim's specialty?

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

Is Muhammad Qasim enrolled in Medicare?

Yes. Muhammad Qasim 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 Muhammad Qasim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Qasim reassigns Medicare benefits to 3 organizations: Medical Associates Of Englewood, PC (Englewood, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, 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 Muhammad Qasim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Qasim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Muhammad Qasim 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 Qasim affiliated with any hospitals?

According to CMS data, Muhammad Qasim is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Muhammad Qasim was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.