NPIMap

Individual provider Active NPI

Matin Sharafatkhah, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1013953975
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
206167 Issued in NY
Practice address
1655 E 13TH St
Brooklyn, NY 11229-1101
Phone
(718) 339-3100
Fax
(718) 339-3905
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 206167 NY Primary

Addresses

Primary practice location

1655 E 13TH St
Brooklyn, NY 11229-1101

Mailing address

200 W 58TH St
New York, NY 10019-1432
Phone (212) 307-1151

Other identifiers 1

IdentifierTypeStateIssuer
02052775MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040925000154 NY Practitioner - Endocrinology 4082683248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unicare Medical PCGroup PAC ID 6002969748, 3 clinicians
B and L Health IncGroup PAC ID 9830124908, 26 clinicians

Practice addresses (Care Compare)

13912 84TH Dr
Jamaica, NY 11435-1826
Phone (718) 297-3333

1655 E 13TH St
Brooklyn, NY 11229-1101
Phone (718) 339-6300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed Care PC CurrentSince Oct 1, 2013 Accepting new patients
Hillside Primary Care PLLC Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2025 Accepting new patients
East Shore Medical PC Past Accepting new patients
Sorin Medical PC PastSince Mar 23, 2013 Accepting new patients
Prime Fitness Physical Therapy PC PastSince Nov 1, 2007 Accepting new patients
E & a Medical Solutions LLC PastSince Jan 12, 2015 Accepting new patients
Alexander Golberg Physician, P.C. PastSince Oct 16, 2012 Accepting new patients
Personal Touch Medical Care, P.C. PastSince Aug 13, 1996 Accepting new patients

Locations

3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170

1849 86th St
Brooklyn, NY 11214
Phone (718) 232-3004

3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170

16403 Hillside Ave
Jamaica, NY 11432
Phone (718) 298-6739

16403 Hillside Ave
#1
Jamaica, NY 11432
Phone (347) 771-8473

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJEBCD/Endpoint/BJEBCD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1013953975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 58TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191432",
            "telephone_number": "212-307-1151",
            "fax_number": "212-307-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291101",
            "telephone_number": "718-339-3100",
            "fax_number": "718-339-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAFATKHAH",
        "first_name": "MATIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "206167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.