Individual provider Active NPI

Seyed Ali Khalessi Hosseini, MD

  • Gastroenterology Physician
  • Forest Hills, NY
National Provider Identifier
1093204307
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
309659 Issued in NY
Practice address
10919 72ND Rd
Forest Hills, NY 11375-7826
Phone
(718) 268-0418
Fax
(718) 268-2311
NPI assigned
May 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 309659 NY Primary

Addresses

Primary practice location

10919 72ND Rd
Forest Hills, NY 11375-7826

Mailing address

10919 72ND Rd
Forest Hills, NY 11375-7826
Phone (718) 459-8460

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
I20240819000962 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 9133467624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
New York University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Hills Gastroenterology PCGroup PAC ID 7416846860, 4 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians
Flushing Hospital and Medical CenterGroup PAC ID 2668367483, 62 clinicians

Practice addresses (Care Compare)

10919 72ND Rd
Forest Hills, NY 11375-7826
Phone (718) 268-0418

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

14601 45TH Ave
Flushing, NY 11355-2200
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5486

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

Hospital & facility affiliations

  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Jamaica Hospital CurrentSince Mar 1, 2025 Accepting new patients
Jamaica Hospital CurrentSince Mar 1, 2025 Accepting new patients
Forest Hills Gastroenterology P.C. Gastroenterology CurrentSince Jun 17, 2024 Accepting new patients
Flushing Hospital Medical Center CurrentSince Mar 1, 2025 Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

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

Interoperability endpoints

  • Direct secure messaging: skhalessihosseini457301@direct.medisys.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1093204307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10919 72ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757826",
            "telephone_number": "718-459-8460",
            "fax_number": "718-268-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10919 72ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757826",
            "telephone_number": "718-268-0418",
            "fax_number": "718-268-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALESSI HOSSEINI",
        "first_name": "SEYED ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "309659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.