Individual provider Active NPI

Mehran Golpariani, MD

  • Pain Medicine (Anesthesiology) Physician
  • Port Jefferson Station, NY
National Provider Identifier
1083806053
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
192949 Issued in NY
Practice address
59 Nesconset Hwy
Port Jefferson Station, NY 11776-2628
Phone
(631) 474-2300
Fax
(631) 474-2355
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 192949 NY Primary

Addresses

Primary practice location

59 Nesconset Hwy
Port Jefferson Station, NY 11776-2628

Mailing address

PO Box 231233
Great Neck, NY 11023-0233
Phone (631) 474-2300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111219000669 NY Practitioner - Pain Management 6901071059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Albert Einstein College of Medicine of Yeshiva University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1731 N Ocean Ave
Suite a
Medford, NY 11763-2670
Phone (631) 474-2300

Merit-based Incentive Payment System (MIPS)

Final score
23.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management of Long Island, P.C, Pain Medicine CurrentSince Apr 1, 2002 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

1731 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 474-2300

59 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (516) 828-5996

75 N Country Rd
#L
Prt Jefferson, NY 11777
Phone (631) 474-2300

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Interoperability endpoints

  • Direct secure messaging: mehran.golpariani@1691.securemail.prognocis.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1083806053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231233",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230233",
            "telephone_number": "631-474-2300",
            "fax_number": "631-474-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762628",
            "telephone_number": "631-474-2300",
            "fax_number": "631-474-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLPARIANI",
        "first_name": "MEHRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "192949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.