Individual provider Active NPI

Pourrat Monahemi, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1174617674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
163517 Issued in NY
Practice address
3795 E. Tremont Ave
Bronx, NY 10465
Phone
(718) 828-5564
Fax
(718) 829-7984
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 163517 NY Primary

Addresses

Primary practice location

3795 E. Tremont Ave
Bronx, NY 10465

Mailing address

3795 E. Tremont Ave
Bronx, NY 10465
Phone (718) 828-5564

Other identifiers 1

IdentifierTypeStateIssuer
00907511MedicaidNY

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
I20110504000718 NY Practitioner - Internal Medicine 1456376052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Throgs Neck Medical Services PCGroup PAC ID 6204727027, 2 clinicians

Practice addresses (Care Compare)

3795 E Tremont Ave
Bronx, NY 10465-2457
Phone (917) 482-4803

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as individual
Quality
48.58
Promoting interoperability
92
Improvement activities
40
Cost
87.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown East Medical Services, PC Internal Medicine Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Networks

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

Organizations & group practices 3

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 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174617674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 E. TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-828-5564",
            "fax_number": "718-829-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 E. TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10465",
            "telephone_number": "718-828-5564",
            "fax_number": "718-829-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHEMI",
        "first_name": "POURRAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00907511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.