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MOHAMED WALI MD
NPI 1720721145
Emergency Medicine in Bay Shore, NY

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
37 MONTGOMERY AVE, BAY SHORE, NY 11706(631) 894-5334 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Apr 14, 2022 (2 updates tracked since 2022).

About Mohamed Wali Md NPPES

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

MOHAMED WALI MD (NPI 1720721145) is an individual emergency medicine provider in Bay Shore, New York, licensed in New York (336221-01) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720721145
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMOHAMED WALICredential: MD
Location Address37 MONTGOMERY AVEBay Shore, NY 11706-8004
Mailing Address37 Montgomery AveBay Shore, NY 11706-8004
Phone(631) 894-5334
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2022
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1720721145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 336221-01
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
37 MONTGOMERY AVE, Bay Shore, NY 11706
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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

Mohamed Wali 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 ID9739605320
PECOS Enrollment IDI20250428000710
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.

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

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

JENSINE SAJAN
Student in an Organized Health Care Education/Training Program
37 MONTGOMERY AVE
BAY SHORE, NY 11706
Suffolk County (631) 894-5334
JUMA NKOSI DANIELS MD, PHD
Student in an Organized Health Care Education/Training Program
37 MONTGOMERY AVE, DEPARTMENT OF MEDICAL EDUCATION
BAY SHORE, NY 11706
Suffolk County (631) 255-6850
CHARLES GREGORY RONG MD
Student in an Organized Health Care Education/Training Program
37 MONTGOMERY AVE
BAY SHORE, NY 11706
Suffolk County (631) 894-5334
ERIC JESUS MEJIA
Student in an Organized Health Care Education/Training Program
37 MONTGOMERY AVE
BAY SHORE, NY 11706
Suffolk County (631) 894-5334

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 Mohamed Wali's NPI number?

The NPI number for Mohamed Wali is 1720721145. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Mohamed Wali located?

Mohamed Wali practices at 37 Montgomery Ave, Bay Shore, NY 11706. The listed phone number is (631) 894-5334.

What is Mohamed Wali's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mohamed Wali enrolled in Medicare?

Yes. Mohamed Wali 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.

Is Mohamed Wali affiliated with any hospitals?

According to CMS data, Mohamed Wali is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Wali was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.