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DR. MOHAMMED NAYEEMUDDIN M.D.
NPI 1427495274
Internal Medicine - Pulmonary Disease in Burien, WA

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
16259 SYLVESTER RD SW STE 404, BURIEN, WA 98166(206) 241-1818(253) 539-6025 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, Oct 10, 2019 (2 updates tracked since 2019).

About Dr. Mohammed Nayeemuddin M.d. NPPES

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

DR. MOHAMMED NAYEEMUDDIN M.D. (NPI 1427495274) is an individual pulmonary disease provider in Burien, Washington, licensed in Washington (MD60941810) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1427495274
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MOHAMMED NAYEEMUDDINCredential: M.D.
Location Address16259 SYLVESTER RD SW STE 404Burien, WA 98166-3059
Mailing Address16259 Sylvester Rd Sw Ste 404Burien, WA 98166-3059 · (206) 241-1818 · Fax (253) 539-6025
Phone(206) 241-1818
Fax(253) 539-6025
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1427495274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in WA · MD60941810✔ Licensed in WA · M60941810
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
16259 SYLVESTER RD SW STE 404, Burien, WA 98166
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Secondary Practice Location 1

Location 13401 N Broad St, Department of Internal MedicinePhiladelphia, PA 19140-5103 · Phone (215) 707-3397

Other Identifiers 1

Medicaid2141075WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammed Nayeemuddin M.d. 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 ID7416236161
PECOS Enrollment IDI20191114003154
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services81 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
30 services29 patients
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.
28 services15 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Highline Medical Center

Acute Care Hospitals · Burien, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500011
Location16251 Sylvester Road SWBurien, WA 98166 · King County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers85 claims85 services$2.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers143 claims143 services$68.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers70 claims70 services$33.99 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers11 claims1,257 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
6 suppliers20 claims1,710 services$0.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
11 suppliers28 claims1,440 services$0.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ANDREW PHILIP COVINGTON MD
Physical Medicine & Rehabilitation
16259 SYLVESTER RD SW STE 404
BURIEN, WA 98166
King County (206) 243-3049

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 Mohammed Nayeemuddin's NPI number?

The NPI number for Mohammed Nayeemuddin is 1427495274. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Mohammed Nayeemuddin located?

Mohammed Nayeemuddin practices at 16259 Sylvester Rd SW Ste 404, Burien, WA 98166. The listed phone number is (206) 241-1818.

What is Mohammed Nayeemuddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohammed Nayeemuddin enrolled in Medicare?

Yes. Mohammed Nayeemuddin 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.

What insurance does Mohammed Nayeemuddin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mohammed Nayeemuddin 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 Mohammed Nayeemuddin affiliated with any hospitals?

According to CMS data, Mohammed Nayeemuddin is affiliated with Highline Medical Center, St Joseph Medical Center and St Francis Community Hospital.

When was this NPI record last updated?

The NPPES record for Mohammed Nayeemuddin was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.