Masood H Siddiquee (NPI# 1871551788, PAC ID# 1153375308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1871551788 |
| PAC ID by PECOS | 1153375308 |
| Professional Enrollment ID | I20091203000457 |
| Full Name | Masood H Siddiquee |
| Organization Legal Name | EASTSIDE INTERNAL MEDICINE, LLC |
| Address |
2080 Eastside Dr Suite A Conyers GA 30013-1953 |
| Phone Number | 6786257800 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7618921867 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| 110018 | PIEDMONT NEWTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 | 6786257800 | EASTSIDE INTERNAL MEDICINE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 26% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 64% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 26% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 42% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 53% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 97% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 74% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 71% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 99% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 98% |
| Organization Legal Name | EASTSIDE INTERNAL MEDICINE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farhana Quasem | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Syed Wasim | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Street Address |
2080 EASTSIDE DR SUITE A |
| City | CONYERS |
| State | GA |
| Zip | 30013-1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farhana Quasem | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Syed Wasim | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopal A Desa | Internal Medicine | 3641 Ga Hwy 20 Se, Suite A, Conyers, GA 30013 | |
| Ndidi E Madu | Family Medicine | 1815 Hwy 138 Se, Suite 800, Conyers, GA 30013 | |
| Danielle Waters | Nurse Practitioner | 1810 Hwy 20 Se, Suite 172, Conyers, GA 30013 | |
| Douglas Robert Slavin | Clinical Psychologist | 1807 Over Lake Drive Se, Suite F, Conyers, GA 30013-1709 | |
| Linda B Hagan | Clinical Social Worker | Hagan Ziegler and Associates PC | 1814 Lakefield Se Ct, Suite A, Conyers, GA 30013-1776 |
| Kaushik Amin | Internal Medicine | 2035 Flat Shoals Serd, Conyers, GA 30013-1809 | |
| Marlyn Wallace | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Savonia Grant | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Michael Cantrell | Podiatry | 2202 Salem Rd Se, Suite B, Conyers, GA 30013-1843 | |
| Darryl S Gross | General Practice | 2280 Salem Rd Se, Suite 102, Conyers, GA 30013-2004 | |
| Find all physicians in zip 30013 | |||
| City | CONYERS |
| Zip Code | 30013 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CONYERS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Masood H Siddiquee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.