Individual provider Active NPI

Ishtiaq Hossain, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1104261379
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
285085 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 285085 NY
Family Medicine Physician 207Q00000X 285085 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401

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
I20160817000893 NY Practitioner - Family Practice 0345472999 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

11909 26TH Ave
Flushing, NY 11354-1022
Phone (718) 709-0940

388 Hillside Ave
New Hyde Park, NY 11040-2524
Phone (717) 716-7107

8702 167TH St
Jamaica, NY 11432-3636
Phone (718) 880-2186

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Highland Care Center Nursing home, Jamaica, NY, CCN 335505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285085NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Feb 2, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2022 Accepting new patients
Py Medical PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Nov 15, 2017 Accepting new patients
Flexy Move Physical Therapy PLLC CurrentSince Jul 28, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince Jul 18, 2016 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince May 18, 2022 Accepting new patients
United Medical Associates PC CurrentSince Jul 18, 2016 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Izna Healthcare PC Family Medicine CurrentSince Aug 28, 2022 Accepting new patients
My Medical PC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Izna Medical Care PC CurrentSince Nov 23, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2022 Accepting new patients
Highland Care Center, Inc Past Accepting new patients
Rego Park N H LTD Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

11909 26th Ave
Flushing, NY 11354
Phone (718) 434-0600

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1 S Route 9W
Haverstraw, NY 10927
Phone (845) 429-8411

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

507 Main St
Johnson City, NY 13790
Phone (607) 763-6075

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

26019 Nassau Blvd
Little Neck, NY 11362
Phone (516) 488-2880

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

388 Hillside Ave
New Hyde Park, NY 11040
Phone (248) 906-9066

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

300 Community Dr
Plandome, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

70 Father Capodanno Blvd
Staten Island, NY 10305
Phone (718) 273-8900

Networks

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

Organizations & group practices 17

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.

View all 17

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1104261379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 HALPERIN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612631",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "ISHTIAQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "285085",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "285085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.