Deactivated NPI 1629092218 Deactivated / Inactive NPI Male Practitioner

Dr. Issam Mouded , MD

Specialist • Secaucus, NJ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Issam Mouded has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006

NPI Deactivation Date July 02, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Issam Mouded, MD was a registered Specialist practicing in Secaucus, NJ. Throughout an active medical career spanning 20 years, Dr. Mouded provided care at the practice location at 255 STATE RT 3 until profile deactivation on 2026-07-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, electronic assessment of bladder emptying, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

255 State Rt 3
Suite#105

Secaucus, NJ 070943857

Telephone 2018651919

Fax 2018654022

Associated Practice Facility / Clinic

🏢 The Center For Gastroenterology And Liver Disorders Llc Facility NPI 1497874358

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Secaucus, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 54.0 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Secaucus, NJ (1802 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	26	$90.00	$89.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$150.00	$144.16
51741 Electronic assessment of bladder emptying	11	11	$250.00	$15.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	54	$150.00	$146.08
99213 Established patient office or other outpatient visit, typically 15 minutes	63	38	$90.00	$90.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$188.21
76856 Complete ultrasound scan of pelvis	13	13	$400.00	$130.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	46	$245.00	$80.36
81003 Automated urinalysis test	48	40	$15.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	387	177	$216.96	$79.64
81003 Automated urinalysis test	263	156	$15.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	121	$283.21	$116.64
81000 Manual urinalysis test with examination using microscope, non-automated	104	79	$15.00	$3.94
51741 Electronic assessment of bladder emptying	79	69	$87.09	$15.44
76856 Complete ultrasound scan of pelvis	51	50	$424.02	$121.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$457.14	$174.76
76857 Limited ultrasound scan of pelvis	33	30	$185.00	$53.18
76770 Complete ultrasound scan behind abdominal cavity	29	25	$447.07	$125.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$316.67	$137.13
76872 Ultrasound scan of pelvic region through rectum	15	15	$341.33	$143.81
36415 Insertion of needle into vein for collection of blood sample	12	11	$15.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	506	202	$15.00	$3.94
99213 Established patient office or other outpatient visit, typically 15 minutes	383	164	$90.00	$78.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	179	$150.21	$115.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	130	15	$750.00	$214.68
76856 Complete ultrasound scan of pelvis	130	121	$400.00	$123.29
51741 Electronic assessment of bladder emptying	112	104	$250.00	$16.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	40	$95.00	$76.05
76770 Complete ultrasound scan behind abdominal cavity	63	57	$400.00	$127.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$224.59	$175.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	55	$200.00	$142.70
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	15	$80.00	$34.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	26	$60.00	$40.89
76872 Ultrasound scan of pelvic region through rectum	31	28	$400.00	$107.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$60.00	$47.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	455	175	$90.00	$78.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	141	$149.69	$114.74
76856 Complete ultrasound scan of pelvis	156	145	$400.00	$122.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	139	15	$750.00	$208.09
51741 Electronic assessment of bladder emptying	134	123	$250.00	$17.28
76770 Complete ultrasound scan behind abdominal cavity	75	72	$400.00	$126.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	60	15	$80.00	$36.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$225.00	$174.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	33	$94.36	$75.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	43	$200.93	$142.85
81000 Manual urinalysis test with examination using microscope, non-automated	44	35	$15.00	$4.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	17	$58.50	$40.34
76872 Ultrasound scan of pelvic region through rectum	34	30	$400.00	$105.75
36415 Insertion of needle into vein for collection of blood sample	18	17	$15.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$60.00	$47.28

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ MA39766

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Ghassan Khani , MD

Surgery

NPI 1124190616

Doctor of Medicine (M.D.)

Dr. Robert Boyajian , MD

Internal Medicine

NPI 1174547426

Doctor of Medicine (M.D.)

Dr. Riad Kabakibi , MD

Specialist

NPI 1609896406

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 255 STATE RT 3, SUITE#105, SECAUCUS, NJ 070943857 (Tel: 2018651919)

📍

Updated Business Mailing Address July 08, 2007

Registered at 255 STATE RT 3, SUITE#105, SECAUCUS, NJ 070943857 (Tel: 2018651919)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ISSAM MOUDED, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA39766 in NJ)

🟢

Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Issam Mouded. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629092218

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2006

Last Update: July 08, 2007

Deactivation Date: July 02, 2026

Update or Correct Profile

Mailing Address

255 State Rt 3, Suite#105

Secaucus, NJ 070943857

Phone: 2018651919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.