Active NPI
Hratch Kazanjian, M.D.
- Cardiovascular Disease Physician
- Goshen, NY
National Provider Identifier
1215966593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 191777-1
- Practice address
- 30 Hatfield LN
Suite 209
Goshen, NY 10924-6766 - Phone
- (845) 294-7510
- Fax
- (845) 294-7982
- NPI assigned
- Jun 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 191777-1 | NY | Primary |
Addresses
Primary practice location
30 Hatfield LN
Suite 209
Goshen, NY 10924-6766
Mailing address
20 Grand Street
3Rd Floor
Warwick, NY 10990-1035
Phone (845) 987-3901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01573073 | Medicaid | NY | |
| 5291305 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 E Main St
Suite 300 301
Port Jervis, NY 12771-2113
Phone (845) 856-3812
Hospital & facility affiliations
- St Anthony Community Hospital
- Bon Secours Community Hospital
- Garnet Health Medical Center
- Good Samaritan Hospital of Suffern
- Garnet Health Medical Center Catskills
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Amsterdam Medical Associates, PC | Past | Accepting new patients | |
| Metropolitan Cardiology Consultants, LLC | Cardiovascular Disease | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- 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.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
-
- Cardiovascular Disease Physician
- Suffern, NY
- NPI 1356387401
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1750514923
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Critical Access Hospital
- Callicoon, NY
- NPI 1649251554
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1215966593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND STREET",
"address_2": "3RD FLOOR",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-987-3901",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HATFIELD LN",
"address_2": "SUITE 209",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246766",
"telephone_number": "845-294-7510",
"fax_number": "845-294-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZANJIAN",
"first_name": "HRATCH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "191777-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01573073",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5291305",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.