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DR. MOHAMMAD ROHEEL ALAM MD
NPI 1962908426
Family Medicine in Mckinney, TX

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
4987 W UNIVERSITY DR, MCKINNEY, TX 75071(214) 548-5033(855) 583-0626 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Aug 17, 2023, Jul 24, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Mohammad Roheel Alam Md NPPES

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

DR. MOHAMMAD ROHEEL ALAM MD (NPI 1962908426) is an individual family medicine provider in Mckinney, Texas, licensed in Texas (T4877) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Sarah D Culbertson Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962908426
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOHAMMAD ROHEEL ALAMCredential: MD
Location Address4987 W UNIVERSITY DRMckinney, TX 75071-5072
Mailing Address2700 E Broad StMansfield, TX 76063-5899 · (682) 242-2000
Phone(214) 548-5033
Fax(855) 583-0626
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2018
Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1962908426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · T4877✔ Licensed in AL · MD.42867✔ Licensed in TX · MD.42867
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4987 W UNIVERSITY DR, Mckinney, TX 75071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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. Mohammad Roheel Alam 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 ID6709281967
PECOS Enrollment IDI20220526001217, I20250528000919, I20250917000574, I20260424001480
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 7

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.
126 services70 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.
90 services88 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.
54 services53 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.
51 services28 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services22 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler County
Emergency services

Faith Community Hospital

Acute Care Hospitals · Jacksboro, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450241
Location215 Chisholm TrailJacksboro, TX 76458 · Jack County
Emergency services

Bellville Medical Center

Acute Care Hospitals · Bellville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450253
Location44 N Cummings StBellville, TX 77418 · Austin County
Emergency services

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims12 services$21.30 avg. paid by Medicare
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 suppliers11 claims12 services$119.41 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 3

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

LAKE FOREST DENTAL, PA
Clinic/Center (Dental)
4987 W UNIVERSITY DR
MCKINNEY, TX 75071
Collin County (817) 577-9200
LAKE FOREST FAMILY HEALTH, PLLC
Family Medicine
4987 W UNIVERSITY DR, SUITE 150
MCKINNEY, TX 75071
Collin County (972) 542-8464
LAKE FOREST FAMILY HEALTH, PLLC
Family Medicine
4987 W UNIVERSITY DR, SUITE 150
MCKINNEY, TX 75071
Collin County (972) 285-7137

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 Mohammad Alam's NPI number?

The NPI number for Mohammad Alam is 1962908426. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Mohammad Alam located?

Mohammad Alam practices at 4987 W University Dr, Mckinney, TX 75071. The listed phone number is (214) 548-5033.

What is Mohammad Alam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohammad Alam enrolled in Medicare?

Yes. Mohammad Alam 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 Mohammad Alam accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Mohammad Alam 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 Mohammad Alam affiliated with any hospitals?

According to CMS data, Mohammad Alam is affiliated with Sarah D Culbertson Memorial Hospital, Faith Community Hospital, Bellville Medical Center, Texoma Medical Center and Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mohammad Alam was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.