Active NPI
Mohammad Reza Moienafshari, M.D.
- Internal Medicine Physician
- Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039581
- Practice address
- 644 W Putnam Ave
Greenwich, CT 06830-6088 - Phone
- (203) 210-2810
- Fax
- (203) 210-2811
- NPI assigned
- Feb 17, 2006
- Last updated
- Jan 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 302563 | NY | |
| Internal Medicine Physician | 207R00000X | 039581 | CT | Primary |
Addresses
Primary practice location
644 W Putnam Ave
Greenwich, CT 06830-6088
Mailing address
2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154396893 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700
644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 622-0303
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039581 | CT | MD | Internal Medicine Physician |
| 302563 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| The Westchester Medical Group PC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
644 W Putnam Ave
Greenwich, CT 06830
Phone (203) 210-2880
1281 E Main St
Stamford, CT 06902
Phone (203) 325-4087
2248 31st St
Astoria, NY 11105
Phone (718) 267-1333
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730
108 S Ridge St
Rye Brook, NY 10573
Phone (914) 219-0187
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mmoienafshari@hiemail.healtheconnections.org
- mohammad.moienafshari.1@21260.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WESTMED Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
CT
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
dba Westmed Medical Group
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1609148733
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579910400000",
"number": "1154396893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772547",
"telephone_number": "914-607-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 W PUTNAM AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306088",
"telephone_number": "203-210-2810",
"fax_number": "203-210-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOIENAFSHARI",
"first_name": "MOHAMMAD REZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2020-01-25",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "302563",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "039581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154396893",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.