Shahriar Zehtabchi

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

252267 Issued in NY

Practice address

445 Lenox Rd
Brooklyn, NY 11203-2017

Phone

(718) 245-4790

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Emergency Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Medical CenterGroup PAC ID 4082518006, 83 clinicians

St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
• Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202
• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Mercy Medical Center

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1619245610
  Medicare reassignment Care Compare group NPD
• St. Joseph Hospital

  • Specialist
  • Bethpage, NY
  • NPI 1881799153
  Medicare reassignment Care Compare group NPD
• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  Medicare reassignment NPD
• Progressive Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Uniondale, NY
  • NPI 1588098172
  Medicare reassignment NPD
• Suny Health Science Center at Bklyn

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1588077994
  Medicare reassignment NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1396318986
  Medicare reassignment NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1740853340
  Medicare reassignment NPD
• Mercy Medical Center

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1104097294
  NPD
• Mercy Medical Center

  • Diagnostic Radiology Physician
  • Rockville Centre, NY
  • NPI 1124062369
  NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1528027414
  NPD

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

• Mercy Medical Center

  • Psychiatric Hospital Unit
  • Rockville Centre, NY
  • NPI 1427017854
  Care Compare affiliation
• Mercy Medical Center

  • Rehabilitation Hospital Unit
  • Rockville Centre, NY
  • NPI 1598724924
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Rockville Centre, NY
  • NPI 1659330173
  Care Compare affiliation
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1043224355
  Care Compare affiliation
• Wsnchs North, Inc.

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1124013081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "address_2": "BOX 1262",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-245-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032017",
            "telephone_number": "718-245-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHTABCHI",
        "first_name": "SHAHRIAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "252267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02325015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shulamith Leah Zeffren, SPECIAL EDUCATION
• Sorah Zeffren, OTR
• Yael Shoushan Zeffren
• Zehava Zell LLC
• Sarah Mayira Zehavi
• Harvey Zeichner, PSY.D
• Majid Zeidi, MD
• Frady Zeidman
• Isabelle Amelia Zeidner
• Natalie F Zeif

• Emergency Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.