DR. GOLAM MOSTAFA WARIS (MD) – Internal Medicine Physician, NPI 1770528267

DR. GOLAM MOSTAFA WARIS (MD) is a healthcare provider. based in Saint marys, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 296648 (NY). The NPI Number for DR. GOLAM MOSTAFA WARIS (MD) is 1770528267

Main info

Male
38 Years Of Experience
Name
DR. GOLAM MOSTAFA WARIS (MD)
NPI
1770528267
Phone
(912) 510-3420
Address
2603 OSBORNE RD STE E
Enumeration Date
18 June 2006
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7168952200
Graduation Year
1988 (38 years ago)
PAC ID
5799915815
Group Practice PAC ID
8022112499
Professional Enrollment ID
I20181226001671
Address ID
NY142111947BU2200XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

18,052 INTERNAL MEDICINE in NY

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Provider Addresses for DR. GOLAM MOSTAFA WARIS (MD)

  • 2603 OSBORNE RD STE E

    SAINT MARYS, GA 315588907

    Phone: (912) 510-3420

    Fax: (912) 510-4375

    Type: Mailing

  • 2200, Genesee Street, Buffalo, Erie County, New York, 14211, United States

    BUFFALO, NY 142111924

    Phone: (313) 874-9905

    Fax: (313) 891-0842

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181226001671IInternal MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes756173$0
36415Insertion of needle into vein for collection of blood sample265146$0
99214Established patient office or other outpatient visit, 30-39 minutes6253$0
G0008Administration of influenza virus vaccine4846$0
99212Established patient office or other outpatient visit, 10-19 minutes4137$0
View full utilization report →

Insurance plans in this area (ZIP 31558)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022112499View full group profile
NameSpecialtyState
Family PracticeNY
Internal MedicineNY
Internal MedicineNY
Internal MedicineNY

Reviews

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Frequently asked questions

Where can patients find DR. GOLAM MOSTAFA WARIS (MD)'s NPI?
You can confirm DR. GOLAM MOSTAFA WARIS (MD) with NPI 1770528267; it appears in the national provider directory.
Is DR. GOLAM MOSTAFA WARIS (MD) active in the national directory?
DR. GOLAM MOSTAFA WARIS (MD)'s public NPI profile is in an active state.
What field does DR. GOLAM MOSTAFA WARIS (MD) work in?
You can think of DR. GOLAM MOSTAFA WARIS (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. GOLAM MOSTAFA WARIS (MD)?
We surface Saint Marys, Georgia for DR. GOLAM MOSTAFA WARIS (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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