MUBASHIR MOHIDIN WANI M.D.
NPI 1619660818
Family Medicine in Dallas, TX

Q: What is Mubashir Wani's NPI number?

The NPI number for Mubashir Wani is 1619660818. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Q: What is Mubashir Wani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mubashir Wani was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 01, 2023PECOS Enrolled

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 891-6400 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jun 1, 2023 (2 updates tracked since 2023).

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About Mubashir Mohidin Wani M.d. NPPES

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

MUBASHIR MOHIDIN WANI M.D. (NPI 1619660818) is an individual family medicine provider in Dallas, Texas, licensed in New York (345181) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Bassett Healthcare, and maintains a secondary practice location in Cobleskill.

NPPES Registry Identity

NPI1619660818

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMUBASHIR MOHIDIN WANICredential: M.D.

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390

Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3456

Phone(214) 891-6400

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 1, 2023

Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1619660818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 345181

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Secondary Practice Location 1

Location 1136 Parkway DrCobleskill, NY 12043-5150 · Phone (518) 234-2555

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mubashir Mohidin Wani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315406691

PECOS Enrollment IDI20260826005205

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 Mubashir Wani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Imogene Bassett Hospital

1,374 mi

Multi-Specialty

1 ATWELL RD
Cooperstown, NY 13326

Reassigned Medicare billing, New York enrollment
1,052 clinicians in this Medicare group

NPI 1083664221 (607) 547-6858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330136

LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine