Individual provider Active NPI

Kamyar Nabegh, MD

  • Family Medicine Physician
  • Scarsdale, NY
National Provider Identifier
1215376694
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54962 Issued in CT
Practice address
Gohealth Urgent Care
77 Quaker Ridge Road, Suite #4
Scarsdale, NY 10804
Phone
(914) 266-3104
NPI assigned
Jun 19, 2013
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 54962 CT Primary

Addresses

Primary practice location

Gohealth Urgent Care
77 Quaker Ridge Road, Suite #4
Scarsdale, NY 10804

Mailing address

150 Brook St Apt a
Scarsdale, NY 10583-5441
Phone (763) 443-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20170801000488 CT Practitioner - Family Practice 5193010601 Reassigns benefits to 2 organizations
I20200520002581 NY Practitioner - Family Practice 5193010601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

170 Maple Ave
Suite 502
White Plains, NY 10601-4708
Phone (914) 948-1000

595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54962CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Nov 26, 2017 Accepting new patients
White Plains Physician Services PC Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Apr 18, 2020 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

77 Quaker Ridge Rd
#4
New Rochelle, NY 10804
Phone (914) 266-3104

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061

595 Hempstead Tpke
Ste A
West Hempstead, NY 11552
Phone (347) 493-2952

170 Maple Ave
Ste 502
White Plains, NY 10601
Phone (914) 948-1000

222 Westchester Ave
Ste G1
White Plains, NY 10604
Phone (877) 465-4845

Networks

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

Organizations & group practices 4

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.

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1215376694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROOK ST APT A",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835441",
            "telephone_number": "763-443-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOHEALTH URGENT CARE",
            "address_2": "77 QUAKER RIDGE ROAD, SUITE #4",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10804",
            "telephone_number": "914-266-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABEGH",
        "first_name": "KAMYAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "54962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.