ATM GOUSE MOHIUDDIN MD
NPI 1467061143
General Practice in Jamaica, NY

Active since July 28, 2020PECOS Enrolled
8900 170TH ST, JAMAICA, NY 11432(347) 249-0768(509) 357-0622 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Jul 28, 2020 (2 updates tracked since 2020).

About Atm Gouse Mohiuddin Md NPPES

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

ATM GOUSE MOHIUDDIN MD (NPI 1467061143) is an individual general practice provider in Jamaica, New York, licensed in Georgia (85700) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467061143
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameATM GOUSE MOHIUDDINCredential: MD
Location Address8900 170TH STJamaica, NY 11432-5341
Mailing Address8900 170th StJamaica, NY 11432-5341 · (347) 249-0768 · Fax (509) 357-0622
Fax(509) 357-0622
Sole ProprietorYes
Enumeration DateJuly 28, 2020
Last NPPES UpdateAugust 24, 20252 updates tracked since enumeration
NPPES CertifiedAugust 24, 2025
✔ NPI 1467061143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in GA · 85700✔ Licensed in VA · 0101280452
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8900 170TH ST, Jamaica, NY 11432

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atm Gouse Mohiuddin 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Atm Mohiuddin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 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.

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 Atm Mohiuddin's NPI number?

The NPI number for Atm Mohiuddin is 1467061143. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Atm Mohiuddin located?

Atm Mohiuddin practices at 8900 170th St, Jamaica, NY 11432. The listed phone number is (347) 249-0768.

What is Atm Mohiuddin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Atm Mohiuddin enrolled in Medicare?

Yes. Atm Mohiuddin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Atm Mohiuddin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atm Mohiuddin reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Atm Mohiuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atm Mohiuddin accept?

Health plans from CareSource (Common Ground Healthcare) list Atm Mohiuddin 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.

When was this NPI record last updated?

The NPPES record for Atm Mohiuddin was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.