Reza Yavari, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

032568 Issued in CT

Practice address

1008 Main St
Branford, CT 06405-3773

Phone

(203) 315-2936

Fax

(203) 315-2940

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment NPD
• Michael Brines PHD MD LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Guilford, CT
  • NPI 1003146432
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1053477703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053773",
            "telephone_number": "203-315-2936",
            "fax_number": "203-315-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053773",
            "telephone_number": "203-315-2936",
            "fax_number": "203-315-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVARI",
        "first_name": "REZA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "032568",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "032568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ruth Windham, MD
• Sandy E Wolf, MSW
• Women's Intuition and Self Healing, LLC
• Wren Laboratories LLC
• WRH Mental Health Services, LLC
• Melissa Jayne Yetso, LCSW
• David Young, MD
• Jennifer L Young, M.D.
• Youth Continuum
• Joseph Yu, MD

• Endocrinology, Diabetes & Metabolism Physician in Branford, CT
• Providers in Branford, CT by specialty
• Endocrinology, Diabetes & Metabolism Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.