NPIMap

Individual provider Active NPI

Hooman Ranjbaran-Jahromi, M.D.

  • Cardiovascular Disease Physician
  • Liverpool, NY
National Provider Identifier
1104039742
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
265217 Issued in NY
Practice address
4820 W Taft Rd
#209
Liverpool, NY 13088-2800
Phone
(315) 448-6215
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 265217 NY Primary

Addresses

Primary practice location

4820 W Taft Rd
#209
Liverpool, NY 13088-2800

Mailing address

4820 W Taft Rd
#209
Liverpool, NY 13088-2800
Phone (315) 448-6215

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
I20120710000551 NY Practitioner - Cardiovascular Disease (Cardiology) 7517122997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Jun 1, 2018 Accepting new patients
Cardiovascular Specialists of Central New York PLLC Cardiovascular Disease CurrentSince Sep 9, 2023 Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Aug 1, 2012 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Aug 3, 2024 Accepting new patients
North Medical PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Aug 1, 2012 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Aug 3, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

4820 W Taft Rd
Ste 201
Liverpool, NY 13088
Phone (315) 234-0906

4820 W Taft Rd
Ste 209
Liverpool, NY 13088
Phone (315) 448-6125

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • Direct secure messaging: hranjbaran-jahromi@crousemed.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1104039742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "address_2": "#209",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-448-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "address_2": "#209",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-448-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANJBARAN-JAHROMI",
        "first_name": "HOOMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "265217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.