SHAHID A MUGHAL MD
NPI 1851384630
Hospitalist in Johnson City, NY

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
88.52/100
CMS Quality Rating
33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 762-6622(607) 763-5064 Get Directions Write a Review

NPPES record last updated: November 19, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shahid A Mughal Md NPPES

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

SHAHID A MUGHAL MD (NPI 1851384630) is an individual hospitalist provider in Johnson City, New York, licensed in New York (220939) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1851384630
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHAHID A MUGHALCredential: MD
Location Address33-57 HARRISON STJohnson City, NY 13790-2107
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 729-8156 · Fax (607) 729-2209
Fax(607) 763-5064
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 26, 2005
Last NPPES UpdateNovember 19, 2011
✔ NPI 1851384630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in NY · 220939✔ Licensed in AZ · 32776
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 220939 (NY), 32776 (AZ)
33-57 HARRISON ST, Johnson City, NY 13790

Other Identifiers 5

Medicare UPINH17709
Medicare PINZ130518AZ
Medicaid02282020NY
Medicaid858699AZ
Medicare PINRB5897NY

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

Shahid A Mughal 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 ID6002899036
PECOS Enrollment IDI20071201000101
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 Shahid Mughal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 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.

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.

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.
674 services223 patients
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.
191 services80 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.
175 services160 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 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.
24 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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.

88.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost76.76

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers20 claims22 services$102.99 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.

Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Occupational Therapist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Physician Assistant
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Radiology (Diagnostic Radiology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Pathology (Anatomic Pathology & Clinical Pathology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Emergency Medicine
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Pharmacist
33-57 HARRISON ST
JOHNSON CITY, NY 13790

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 Shahid Mughal's NPI number?

The NPI number for Shahid Mughal is 1851384630. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Shahid Mughal located?

Shahid Mughal practices at 33-57 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 762-6622.

What is Shahid Mughal's specialty?

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

Is Shahid Mughal enrolled in Medicare?

Yes. Shahid Mughal 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 organizations bill Medicare for Shahid Mughal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahid Mughal reassigns Medicare benefits to 2 organizations: United Health Services Hospitals, Inc. (Johnson City, NY) and United Medical Associates PC (Binghamton, NY). 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 Shahid Mughal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shahid Mughal affiliated with any hospitals?

According to CMS data, Shahid Mughal is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Shahid Mughal was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.