Keyvan Jahanbakhsh, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA11127800 Issued in NJ

Practice address

1534 Victory Blvd
Staten Island, NY 10314

Phone

(718) 667-3577

Fax

(347) 875-1804

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

AnesthesiologyAlso: Pain Management

Education

Albert Einstein College of Medicine of Yeshiva University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Pro Orthopaedics and Sports MedicineGroup PAC ID 1557582327, 13 clinicians

Hudson Orthopedics PLLCGroup PAC ID 1052856465, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJAICA
• Direct secure messaging: kjahanbakhsh218659@northwell.direct-ci.com

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.

• Hudson Orthopedics PLLC

  • Specialist
  • New York, NY
  • NPI 1568204097
  Medicare reassignment Care Compare group NPD
• Hudson Pro Orthopaedics and Sports Medicine

  • Specialist
  • Hoboken, NJ
  • NPI 1023425279
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Physicians of University Hospital, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1417901323
  Medicare reassignment NPD
• Specialty Anesthesia, PLLC

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1003006743
  Medicare reassignment
• Spine and Pain Consultant, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
  • NPI 1477792232
  Medicare reassignment
• Physicians of University Hospital, PC

  • Anesthesiology Physician
  • Bay Shore, NY
  • NPI 1023513116
  NPD
• Park East Pain Management Suite, PLLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1407150980
  NPD (past)
• New York Metropolitan Orthopaedics and Spine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • North Bergen, NJ
  • NPI 1326714148
  NPD (past)
• Roman Isaac MD PLLC

  • Orthopaedic Surgery Physician
  • Hoboken, NJ
  • NPI 1467819540
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1184882649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "718-667-3577",
            "fax_number": "347-875-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-667-3577",
            "fax_number": "347-875-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHANBAKHSH",
        "first_name": "KEYVAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "262483",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA11127800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Shall-McCumiskey, Psy.D. Mindful Practice
• Angnieszka Jaczynski, RN
• Ali Jaddoa
• Mumtaz Jafri, MD
• Bahram Jahanbakhsh, M.D.
• Agnes G Jaiman, LMHC
• Amar Jain, D.D.S.
• Ana Silvia Jain, TEACHER
• Jyotsna Jain, OD
• Shreya Jain, MD, MBS

• Pain Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.