Active NPI
Milad Nazemzadeh, M.D.
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1053566778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- TRAINING
- Practice address
- 301 E 17TH St
C-222
New York, NY 10003-3804 - Phone
- (212) 598-6085
- NPI assigned
- Nov 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 261259 | NY | |
| Anesthesiology Physician | 207L00000X | TRAINING | DC | Primary |
| Anesthesiology Physician | 207L00000X | MD045186 | DC |
Addresses
Primary practice location
301 E 17TH St
C-222
New York, NY 10003-3804
Mailing address
301 E 17TH St
C-222
New York, NY 10003-3804
Phone (301) 257-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053566778 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- George Washington University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000
Hospital & facility affiliations
- Sibley Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRAINING | DC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
Interoperability endpoints
- mnazemzadeh419228@direct.hopkinsmedicine.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1811930647
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1053566778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 17TH ST",
"address_2": "C-222",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "301-257-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 17TH ST",
"address_2": "C-222",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033804",
"telephone_number": "212-598-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZEMZADEH",
"first_name": "MILAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "261259",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "TRAINING",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD045186",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053566778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.