NPIMap

Individual provider Active NPI

Alireza Shirvani, M.D.

  • Hospitalist Physician
  • Great Neck, NY
National Provider Identifier
1073769154
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
270376 Issued in NY
Practice address
287 Northern Blvd Ste 108
Great Neck, NY 11021-4717
Phone
(516) 418-6942
Fax
(516) 407-5498
NPI assigned
Aug 8, 2008
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 270376 NY
Hospitalist Physician 208M00000X 270376 NY Primary

Addresses

Primary practice location

287 Northern Blvd Ste 108
Great Neck, NY 11021-4717

Mailing address

33 Hofstra Dr
Plainview, NY 11803-1814
Phone (516) 418-7942

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
I20131031001522 NY Practitioner - Internal Medicine 5395931588 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ny Priority Medical Care PLLCGroup PAC ID 1759542582, 3 clinicians

Practice addresses (Care Compare)

16501 Chapin Pkwy
Jamaica, NY 11432-1807
Phone (718) 739-2523

287 Northern Blvd
Suite 108
Great Neck, NY 11021-4717
Phone (516) 418-6942

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Sep 19, 2013 Accepting new patients
Ny Priority Medical Care PLLC CurrentSince Dec 17, 2017 Accepting new patients
Saba Medical Care PC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
St. Francis Hospital Past Accepting new patients
Sunharbor Acquisition I , LLC Past Accepting new patients
Chapin Acquisition I LLC Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Chapin Home for the Aging Past Accepting new patients
Kennedy Pavilion RH, LLC Past Accepting new patients

Locations

14461 38th Ave
Flushing, NY 11354
Phone (212) 739-1799

3617 Parsons Blvd
Flushing, NY 11354
Phone (718) 888-5200

199 Community Dr
Great Neck, NY 11021
Phone (516) 216-4108

287 Northern Blvd
Ste 108
Great Neck, NY 11021
Phone (516) 418-6942

16411 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 296-7800

16501 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 739-2523

300 Community Dr
Manhasset, NY 11030

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

101 Hospital Rd
Rm 263
Patchogue, NY 11772
Phone (631) 687-4131

255 Warner Ave
Roslyn Hts, NY 11577
Phone (516) 621-5400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1073769154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HOFSTRA DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031814",
            "telephone_number": "516-418-7942",
            "fax_number": "516-407-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 NORTHERN BLVD STE 108",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214717",
            "telephone_number": "516-418-6942",
            "fax_number": "516-407-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRVANI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "270376",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "270376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.