Mustafa Azmi M Alsaid Alkhreisat
Hospitalist

Address: 20 York St Cb-2041, North Haven, CT 06510-3220
Phone: 2036884748

Mustafa Azmi M Alsaid Alkhreisat (NPI# 1205268588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205268588
Entity Type Individual
Full Name Mustafa Azmi M Alsaid Alkhreisat
Credential M.BB.S
Gender Male
Practice Address 20 York St Cb-2041
North Haven
CT 06510-3220
Practice Telephone 2036884748
Practice Fax Number 2036884740
Mailing Address 20 York St Cb-2041
North Haven
CT 06510-3220
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-08-08
Last Update Date 2016-07-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 7073 NE
Yes 208M00000X Hospitalist Allopathic & Osteopathic Physicians 054673 CT

Physician Overview

NPI 1205268588
PAC ID by PECOS 3678869153
Professional Enrollment ID I20160909000378
Full Name Mustafa Alsaid Alkhreisat
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Phone Number 2036884741
Gender M
Graduation Year 2010
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1254233836
Number of Group Practice Members 922
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Office Location

Street Address 20 YORK ST CB-2041
City NORTH HAVEN
State CT
Zip Code 06510-3220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1427514611 Reshma S Chacko Registered Nurse 20 York Street Yale New Haven Hospital, New Haven, CT 06510 2019-02-13
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1407346703 Eric Isaac Elliott Student in an Organized Health Care Education/Training Program 20 York Street Ynhh - Department of Internal Medicine, New Haven, CT 06510 2018-05-14
1821588070 Tarek Kamal Khader Student in an Organized Health Care Education/Training Program 20 York Street - Department of Obstetrics & Gynecology, New Haven, CT 06510 2018-05-14
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
1821588138 Molly Ann Markowitz Student in an Organized Health Care Education/Training Program 20 York Street Ynhh and Yale Pediatrics Department, New Hven, CT 06510 2018-05-11
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy 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.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407338882 Liming Zeng Hospitalist 38 Dundee Dr, Cheshire, CT 06410-1574 2018-09-03
1598171944 Rabia Rizwan Hospitalist 224 Indian Ave, Bridgeport, CT 06606-4843 2014-07-07
1316273485 Jennifer Brook Hospitalist 20 York Street (cb-2041), New Haven, CT 06510 2009-10-26
1124181904 Keith Swan Hospitalist 20 York St # 2041, Ynh Medical Services PC, New Haven, CT 06504-8900 2006-12-19
1558306340 Anna Rodonski Hospitalist 20 York Steet, Cb-2041, New Haven, CT 06510 2006-06-17
1528016755 Linda M. Hricz-borges Hospitalist 20 York Stree, Cb-2041, New Haven, CT 06510 2006-05-04
1346233079 Wilton Medical Associates PC Hospitalist 20 Old Ridgefield Rd, Wilton, CT 06897-3012 2005-08-29
1295218733 Alexis Laurie Volpe Hospitalist 24 Hospital Ave, Danbury, CT 06810 2018-09-11
1992287932 Nicholas Horvath Hospitalist 24 Hospital Ave, Danbury, CT 06810 2018-09-06
1457833907 Zoe Krause Hospitalist 24 Hospital Ave, Danbury, CT 06810-6077 2018-08-31
Find all providers with the same taxonomy

Competitor

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City NORTH HAVEN
Zip Code 06510

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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