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MR. SALEM EL MIZZAWI
NPI 1871077610
Physician Assistant in Poughkeepsie, NY

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
45 READE PL, POUGHKEEPSIE, NY 12601(845) 454-8500 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 19, 2019, Nov 8, 2018, Sep 18, 2018 (3 updates tracked since 2018).

About Mr. Salem El Mizzawi NPPES

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

MR. SALEM EL MIZZAWI (NPI 1871077610) is an individual physician assistant in Poughkeepsie, New York, licensed in New York (022976) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871077610
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SALEM EL MIZZAWI
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address1345 Rxr Plz Fl 13Uniondale, NY 11556-1301 · (516) 453-0435 · Fax (646) 846-3283
Phone(845) 454-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateSeptember 19, 20193 updates tracked since enumeration
✔ NPI 1871077610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 022976
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
45 READE PL, Poughkeepsie, NY 12601
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Secondary Practice Location 1

Location 1356 W 125th StNew York, NY 10027-4820 · Phone (646) 647-1267 · Fax (646) 647-1268

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

Mr. Salem El Mizzawi 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 ID6800130725
PECOS Enrollment IDI20181204002546
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 9

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.
329 services268 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
83 services79 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
75 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 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.
42 services40 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.
40 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

PRIYAM PATTNAIK MD
Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5677
CHRISTINE WILSON AGACNP
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
ZEESHAN IRANI DO, MSMED
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (203) 241-2685
DIANNE GUARNERA THOMSON PA
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
DR. JAMES SHARP M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5618
DR. DOMENICO CARMINE MASTANDREA D.O.
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5680
CHENG NG MD
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-1317
MEGAN CALARDO CRNA
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500

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 Salem El Mizzawi's NPI number?

The NPI number for Salem El Mizzawi is 1871077610. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Salem El Mizzawi located?

Salem El Mizzawi practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8500.

What is Salem El Mizzawi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Salem El Mizzawi enrolled in Medicare?

Yes. Salem El Mizzawi 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.

When was this NPI record last updated?

The NPPES record for Salem El Mizzawi was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.