Organization Active NPI

Kayvan Keyhani MD PC

  • Ophthalmology Physician
  • Yorktown Heights, NY
National Provider Identifier
1063667202
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
222645-1 Issued in NY
Legal business name
KAYVAN KEYHANI MD PC
Practice address
3535 Hill Blvd Ste R
Yorktown Heights, NY 10598-1209
Phone
(914) 245-3303
Fax
(914) 245-3531
NPI assigned
Dec 1, 2008
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Kayvan Keyhani, M.D.NPI 1275549552
Title
Director
Phone
(914) 245-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 222645-1 NY Primary

Addresses

Primary practice location

3535 Hill Blvd Ste R
Yorktown Heights, NY 10598-1209

Mailing address

3535 Hill Blvd Ste R
Yorktown Heights, NY 10598-1209
Phone (914) 245-3303

Other identifiers 2

IdentifierTypeStateIssuer
DO7208OtherNYRAILROAD MEDICARE
1275549552OtherNYNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090401000351 NY Part B Supplier - Clinic/Group Practice 9638236912 Receives reassigned benefits from 6 practitioners
Practice locations: Cortlandt Manor, NY; New York, NY; Yorktown Heights, NY

National Provider Directory

National Provider Directory

Locations

3535 Hill Blvd
Ste R
Yorktown Heights, NY 10598
Phone (914) 245-3303

Interoperability endpoints

  • Direct secure messaging: ddoscas@kea.intellechartdirect.net
  • Direct secure messaging: jmurphy@kea.intellechartdirect.net
  • Direct secure messaging: kkeely@kea.intellechartdirect.net
  • Direct secure messaging: kkeyhani@kea.intellechartdirect.net
  • Direct secure messaging: kpoirier@kea.intellechartdirect.net
  • Direct secure messaging: kwenthen@kea.intellechartdirect.net
  • Direct secure messaging: mnewton@kea.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1063667202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 HILL BLVD STE R",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981209",
            "telephone_number": "914-245-3303",
            "fax_number": "914-245-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 HILL BLVD STE R",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981209",
            "telephone_number": "914-245-3303",
            "fax_number": "914-245-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYVAN KEYHANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-03-29",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "KEYHANI",
        "authorized_official_first_name": "KAYVAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-245-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "222645-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO7208",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275549552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.