Taif Mukhdomi, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in New Albany, Ohio. His current practice location is
5031 Forest Dr Ste C, New Albany, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 647-2526.
Taif Mukhdomi is licensed to practice in New York (license number 309546-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427583566.
Physician's Profile
| Full Name | Taif Mukhdomi |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 5031 Forest Dr Ste C, New Albany, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427583566
- Provider Enumeration Date: 04/26/2017
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769878073
- Enrollment ID: I20220425001837
Medical Identifiers
Medical identifiers for Taif Mukhdomi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427583566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | LP04360 (Rhode Island) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 309546-01 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taif Mukhdomi allows following entities to bill medicare on his behalf.
| Entity Name | Premier Anesthesia Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267 |
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| Entity Name | Sandusky Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770907859
PECOS PAC ID: 3274895271
Enrollment ID: O20180402000752 |
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| Entity Name | Pain Zero, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912652603
PECOS PAC ID: 1850787169
Enrollment ID: O20220413000125 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taif Mukhdomi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Taif Mukhdomi, MD
Po Box 738247,
Dallas, TX 75373-8247
Ph: (614) 647-2526 | Taif Mukhdomi, MD
5031 Forest Dr Ste C,
New Albany, OH 43054-7088
Ph: (614) 647-2526 |
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