{"npi":"1992731616","type":"NPI-1","status":"active","name":{"display":"Dr. Mohammad Fayyaz MD","other":[],"first":"MOHAMMAD","last":"FAYYAZ","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":false,"state":"NY","license":"2044462-1"},{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":"IL","license":"036.172365"}]},"addresses":[{"purpose":"LOCATION","street_1":"1009 S WOOD ST","city":"CHICAGO","state":"IL","postal_code":"606123747","country_code":"US","phone":"3129963800"},{"purpose":"MAILING","street_1":"425 ESSJAY RD STE 170","city":"WILLIAMSVILLE","state":"NY","postal_code":"142218235","country_code":"US","phone":"7166301219","fax":"7168171726"}],"license":{"state":"IL","number":"036.172365"},"identifiers":[{"type_code":"01","label":"Other","value":"161000580","state":"NY","issuer":"EMPIRE"},{"type_code":"01","label":"Other","value":"00010053906","state":"NY","issuer":"UNIVERA"},{"type_code":"01","label":"Other","value":"000524018005","state":"NY","issuer":"HEALTH NOW"},{"type_code":"05","label":"Medicaid","value":"01610186","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"0407905","state":"NY","issuer":"INDEPENDENT HEALTH"},{"type_code":"01","label":"Other","value":"061127000096","state":"NY","issuer":"FIDELIS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050819000249","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"NY","pac_id":"2264462183"},{"enrlmt_id":"I20241211000583","type_code":"14-10","type_desc":"PRACTITIONER - GASTROENTEROLOGY","state":"IL","pac_id":"2264462183"}]},"enumeration_date":"2006-06-24","last_updated":"2024-10-28","_meta":{"source":"NPPES","snapshot_date":"2024-10-28","doc_url":"https://findmynpi.com/api"}}