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DR. MOHAMMED A MEMON M.D.
NPI 1609826668
Internal Medicine in Wethersfield, CT

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
415 SILAS DEANE HWY, SUITE #210, WETHERSFIELD, CT 06109(860) 436-9880(860) 436-9850 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mohammed A Memon M.d. NPPES

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

DR. MOHAMMED A MEMON M.D. (NPI 1609826668) is an individual internal medicine provider in Wethersfield, Connecticut, licensed in Connecticut (042588) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1609826668
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMMED A MEMONCredential: M.D.
Location Address415 SILAS DEANE HWY, SUITE #210Wethersfield, CT 06109-2124
Mailing Address415 Silas Deane Hwy, Suite 210Wethersfield, CT 06109-2124 · (860) 436-9880 · Fax (860) 436-9850
Phone(860) 436-9880
Fax(860) 436-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 27, 2014
✔ NPI 1609826668 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 CT · 042588
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 ListedFamily MedicineTaxonomy 207Q00000X · License 042588 (CT)
415 SILAS DEANE HWY, Wethersfield, CT 06109
Open in Google Maps ↗

Other Identifiers 13

Other00142588500CT · Blue Care Family Plan
Other3722953Aetna
Other042588Connecticare
Medicare PIN080001697
Medicare PIN080001834
Medicare PIN080001841
Other010042588CT01Anthem Blue Cross
OtherP3623891Oxford
Medicaid001425885CT
Other2V7183Health Net
Other36663Health New England
Other4637105Cigna
Medicare UPINI16334

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Mohammed A Memon 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 ID4880662212
PECOS Enrollment IDI20040922001072
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 Reassignment

Medicare enrollment records show Mohammed Memon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manchester Family Care LLC
11 mi
Clinic/Center
75 JOSEPH LN
South Windsor, CT 06074
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1740395755 (860) 648-4402

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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services39 patients
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.
39 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services12 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers41 claims88 services$5.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers20 claims20 services$0.73 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 15

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

CENTER FOR MULTICULTURAL PSYCHOLOGICAL SERVICES, LLC
Psychiatry & Neurology (Psychiatry)
415 SILAS DEANE HWY, SUITE 402
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 721-0606
DR. ROBERTO MEDINA, MD LLC
Clinic/Center (Primary Care)
415 SILAS DEANE HWY, SUITE 210
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 257-4470
CENTER FOR MULTICULTURAL PSYCHOLOGICAL SERVICES
Psychologist
415 SILAS DEANE HWY, SUITE 402
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 721-0606
ROBERTO M MEDINA MD
Internal Medicine
415 SILAS DEANE HWY, SUITE 210
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 257-4470
CENTER FOR MULTICULTURAL PSYCHOLOGICAL SERVICES,LLC
Clinic/Center (Multi-Specialty)
415 SILAS DEANE HWY, SUITE 402
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 721-0606
MARIA M PEREZ COLON LCSW
Social Worker
415 SILAS DEANE HWY, SUITE 402
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 721-0606
A BALANCED LIFE COUNSELING CENTER, LLC
Counselor (Professional)
415 SILAS DEANE HWY, SUITE 220
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 529-1696
DR. WILLIAM P MARCO II D.M.D.
Dentist (Oral and Maxillofacial Surgery)
415 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 529-5394

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 Memon's NPI number?

The NPI number for Mohammed Memon is 1609826668. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Mohammed Memon located?

Mohammed Memon practices at 415 Silas Deane Hwy Suite #210, Wethersfield, CT 06109. The listed phone number is (860) 436-9880.

What is Mohammed Memon's specialty?

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

Is Mohammed Memon enrolled in Medicare?

Yes. Mohammed Memon 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 organization bills Medicare for Mohammed Memon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Memon reassigns Medicare benefits to Manchester Family Care LLC (South Windsor, CT). The 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 Mohammed Memon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammed Memon accept?

Health plans from Anthem Blue Cross and Blue Shield list Mohammed Memon 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 Mohammed Memon was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.