DR. MAITHAM AMMORY MOSLIM MOSLIM M.D.
NPI 1871932822
Surgery - Surgical Oncology in Rochester, NY

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
1415 PORTLAND AVE STE 245, ROCHESTER, NY 14621(585) 922-5973 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Dec 23, 2022 (2 updates tracked since 2022).

About Dr. Maitham Ammory Moslim Moslim M.d. NPPES

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

DR. MAITHAM AMMORY MOSLIM MOSLIM M.D. (NPI 1871932822) is an individual surgical oncology provider in Rochester, New York, licensed in New York (337815) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Perrysburg.

NPPES Registry Identity

NPI1871932822
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. MAITHAM AMMORY MOSLIM MOSLIMCredential: M.D.
Location Address1415 PORTLAND AVE STE 245Rochester, NY 14621-3022
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2013
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1871932822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NY · 337815
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 35127433 (OH), 337815 (NY)
1415 PORTLAND AVE STE 245, Rochester, NY 14621

Secondary Practice Location 1

Location 112623 Eckel Junction Rd Ste 2600Perrysburg, OH 43551-1304 · Phone (567) 368-1490 · Fax (567) 368-1478

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. Maitham Ammory Moslim Moslim M.d. 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 ID547562662
PECOS Enrollment IDI20250703002213
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.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 13

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

Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery (Surgical Oncology)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Physician Assistant (Surgical)
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Surgery
1415 PORTLAND AVE STE 245
ROCHESTER, NY 14621
Obstetrics & Gynecology (Gynecologic Oncology)
1415 PORTLAND AVE STE 245
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 Maitham Moslim's NPI number?

The NPI number for Maitham Moslim is 1871932822. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Maitham Moslim located?

Maitham Moslim practices at 1415 Portland Ave Ste 245, Rochester, NY 14621. The listed phone number is (585) 922-5973.

What is Maitham Moslim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Maitham Moslim enrolled in Medicare?

Yes. Maitham Moslim 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 Maitham Moslim affiliated with any hospitals?

According to CMS data, Maitham Moslim is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Maitham Moslim was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.