Kashyar Khodabakhsh, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

258356 Issued in NY

Practice address

10 Union SQ E
New York, NY 10003-3314

Phone

(914) 428-0529

Fax

(718) 240-8607

NPI assigned

Apr 24, 2008

Last updated

Jun 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

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

Specialty

NeurologyAlso: Pediatric Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Corners Medical PCGroup PAC ID 0345605291, 2 clinicians

Ny Medical Health Care Diagnostic PCGroup PAC ID 4486825932, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: kashyar.khodabakhsh.1@14973.direct.athenahealth.com
• Direct secure messaging: kkhodabakhsh17885@prd.direct.tbh.org
• Direct secure messaging: kkhodabakhsh40960@direct-chsli.net

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.

• Four Corners Medical PC

  • Neurology Physician
  • Jamaica, NY
  • NPI 1356071526
  Medicare reassignment Care Compare group NPD
• Ny Medical Health Care Diagnostic, PC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1598941577
  Medicare reassignment Care Compare group NPD
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• Complete Neurological Care PC

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1962775882
  Medicare reassignment NPD
• Perry Ave Family Medical Center Inc

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1619973518

  Pediatrics

  Medicare reassignment NPD
• Samaritan Pediatric Services, P.C.

  • Pediatrics Physician
  • Babylon, NY
  • NPI 1730308925
  Medicare reassignment NPD
• Critical Care Medical Management Associates PLLC

  • Critical Care Medicine (Anesthesiology) Physician
  • Sleepy Hollow, NY
  • NPI 1194090878
  Medicare reassignment
• TBHC Pediatric Services PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1861628091
  Medicare reassignment
• Medical Point P.C.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1154520765

  Neurology

  NPD
• Department of Neurology Professional Services Group/Slrhc

  • Neurology Physician
  • New York, NY
  • NPI 1811974330
  NPD (past)
• TBHC Physician Services PC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1417183963

  Neurology

  NPD (past)
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699289488
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1073788667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2446",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952446",
            "telephone_number": "914-428-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "914-428-0529",
            "fax_number": "718-240-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODABAKHSH",
        "first_name": "KASHYAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301090255",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "258356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faina Khmelnitsky, OD
• David Yuan-Hao Kho, M.D.
• Inocencio C Kho, MD
• May Kho
• Khoai Psychotherapy, LCSW
• Rachel Khodadadian, M.D.
• Saba Khodadadian, O.D,
• Shawn Khodadadian, M.D.
• Gohar Khodadoost, DMD
• Kiana Khodadoostan Shahraki, DDS

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.
• 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.

Verify at the official NPI Registry.