Individual provider Active NPI

Kamran Vazir Nia, M.D.

  • Gastroenterology Physician
  • Forest Hills, NY
National Provider Identifier
1235191685
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
172501 Issued in NY
Practice address
10406 Metropolitan Ave
Forest Hills, NY 11375-6736
Phone
(718) 275-8100
Fax
(718) 793-5595
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 172501 NY Primary

Addresses

Primary practice location

10406 Metropolitan Ave
Forest Hills, NY 11375-6736

Mailing address

10406 Metropolitan Ave
Forest Hills, NY 11375-6736
Phone (718) 275-8100

Other identifiers 1

IdentifierTypeStateIssuer
01053956MedicaidNY

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
I20060302000372 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7911913751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 -06 Metropolitan Ave
Forest Hills, NY 11375-6736

10406 Metropolitan Ave
Forest Hills, NY 11375-6736
Phone (718) 275-8100

820 Jericho Tpke
New Hyde Park, NY 11040-4514
Phone (718) 275-8100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Upper gastrointestinal (GI) endoscopy for acid reflux18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172501NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamran Nia MD PC Gastroenterology CurrentSince Mar 7, 1995 Accepting new patients

Locations

10406 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 275-8100

820 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 352-0430

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFJDD/Endpoint/GEFJDD
  • Direct secure messaging: kamrannia@knmd.allscriptsdirect.net
  • Direct secure messaging: kamrannia@kvnmp.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1235191685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756736",
            "telephone_number": "718-275-8100",
            "fax_number": "718-793-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10406 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756736",
            "telephone_number": "718-275-8100",
            "fax_number": "718-793-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIA",
        "first_name": "KAMRAN",
        "middle_name": "VAZIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "172501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01053956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.