Individual provider Active NPI

Syed Haseeb, MD, MBA

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1124557749
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone
(718) 270-2030
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

450 Clarkson Ave
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Avenue
Suny Downstate Internal Medicine
Brooklyn, NY 11203-2012
Phone (718) 270-2030

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
I20231102001160 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7618323262 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians
Kenmore Mercy HospitalGroup PAC ID 7517870462, 54 clinicians
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians
Mount St. Marys Hospital of Niagara FallsGroup PAC ID 4082523790, 89 clinicians

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-6100

310 Sterling Dr
Suite 100
Orchard Park, NY 14127-1500
Phone (716) 677-6800

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 828-2898

6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 342-3026

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Sep 23, 2024 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 16, 2023 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 23, 2024 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Sep 23, 2024 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Sep 23, 2024 Accepting new patients
Kenmore Mercy Hospital CurrentSince Sep 23, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Sep 23, 2024 Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 16, 2023 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Sep 23, 2024 Accepting new patients
Kenmore Mercy Hospital CurrentSince Sep 23, 2024 Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

565 Abbott Rd
#2
Buffalo, NY 14220

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

310 Sterling Dr
Ste 100
Orchard Park, NY 14127
Phone (716) 677-6800

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

825 Wehrle Dr
Williamsville, NY 14221
Phone (716) 634-3243

Interoperability endpoints

  • Direct secure messaging: shaseeb403849@direct.chsbuffalo.org

Organizations & group practices 16

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 16

Hospital & facility affiliations 11

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124557749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "address_2": "SUNY DOWNSTATE INTERNAL MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEEB",
        "first_name": "SYED",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.