DR. NEJMUDIN RESHAD KEMAL MD
NPI 1629383211
Hospitalist in Rochester, NY

Active since August 08, 2010PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1425 PORTLAND AVENUE, DEPARTMENT OF MEDICINE, ROCHESTER GENERAL HOSPITAL, ROCHESTER, NY 14621(585) 922-5067(585) 922-2908 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, Oct 11, 2021 (2 updates tracked since 2021).

About Dr. Nejmudin Reshad Kemal Md NPPES

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

DR. NEJMUDIN RESHAD KEMAL MD (NPI 1629383211) is an individual hospitalist provider in Rochester, New York, licensed in Texas (Q5003) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1629383211
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NEJMUDIN RESHAD KEMALCredential: MD
Location Address1425 PORTLAND AVENUE, DEPARTMENT OF MEDICINE, ROCHESTER GENERAL HOSPITALRochester, NY 14621
Mailing Address6620 Main St Dept OfHouston, TX 77030-2348 · (713) 798-2500
Fax(585) 922-2908
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 8, 2010
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
NPI 1629383211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TX · Q5003 Licensed in NY · 270526
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 270526 (NY), Q5003 (TX)
1425 PORTLAND AVENUE, Rochester, NY 14621

Secondary Practice Location 1

Location 16620 Main St Dept OfHouston, TX 77030-2348 · Phone (713) 798-2500

Other Identifiers 3

Medicaid03613009NY
Medicaid03007063/NWKNY
Medicaid01131126/RGHNY

Accepted 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. Nejmudin Reshad Kemal 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 ID8325280589
PECOS Enrollment IDI20151204001378
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 4

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.
142 services78 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.
117 services53 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.
55 services53 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.
49 services48 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

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
2 suppliers14 claims14 services$80.66 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$30.63 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$10.78 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 20

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

Radiology (Radiation Oncology)
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Family Medicine
1425 PORTLAND AVENUE, WILSON BUILDING
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
General Acute Care Hospital
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621
Student in an Organized Health Care Education/Training Program
1425 PORTLAND AVENUE
ROCHESTER, NY 14621

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 Nejmudin Kemal's NPI number?

The NPI number for Nejmudin Kemal is 1629383211. It was assigned to this individual provider in the NPPES registry on August 8, 2010.

Where is Nejmudin Kemal located?

Nejmudin Kemal practices at 1425 Portland Avenue Department Of Medicine, Rochester General Hospital, Rochester, NY 14621. The listed phone number is (585) 922-5067.

What is Nejmudin Kemal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nejmudin Kemal enrolled in Medicare?

Yes. Nejmudin Kemal 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 Nejmudin Kemal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Nejmudin Kemal 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 Nejmudin Kemal affiliated with any hospitals?

According to CMS data, Nejmudin Kemal is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Nejmudin Kemal was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.