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Active NPI 1750816773 Individual Practitioner Male Practitioner

Mamadou Diallo , PA-C

Physician Assistant • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Mamadou Diallo, PA-C is a registered healthcare professional specializing in Physician Assistant in Bronx, NY. Practice services are available at 1150 WEBSTER AVE APT 2D under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, sarscov2 vac 100mcg/0.5ml im, adm sarscov2 100mcg/0.5ml2nd. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1150 Webster Ave Apt 2d

Bronx, NY 104565205

Telephone 3472717666
Associated Practice Facility / Clinic
🏢 Dosu Medical Pc Facility NPI 1801243183

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.9% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
26 26 $145.00 $94.62
91301 Sarscov2 vac 100mcg/0.5ml im
16 16 $0.01 $0.01
0012A Adm sarscov2 100mcg/0.5ml2nd
13 13 $39.31 $35.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $89.00 $58.21

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 020778

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Okwuchukwu Udemba , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1851853535

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2017

Registered at 1150 WEBSTER AVE APT 2D, BRONX, NY 104565205 (Tel: 3472717666)

📍
Updated Business Mailing Address April 27, 2017

Registered at 1150 WEBSTER AVE APT 2D, BRONX, NY 104565205 (Tel: 3472717666)

👤
Provider Name / Credentials Updated April 27, 2017

Recorded as MAMADOU DIALLO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Physician Assistant (License #020778 in NY)

🟢
Initial NPI Registration & Enumeration April 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750816773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2017
Last Update: April 27, 2017
Sole Proprietor: Yes

Mailing Address

1150 Webster Ave Apt 2d

Bronx, NY 104565205

Phone: 3472717666

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.