NPIMap

Individual provider Active NPI

Mikram Jafri, MD

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1245518463
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
277260 Issued in NY
Practice address
40 Andriana LN
Albany, NY 12204-1773
Phone
(347) 771-6423
NPI assigned
Jul 22, 2011
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 277260 NY Primary
Hospitalist Physician 208M00000X 277200 NY

Addresses

Primary practice location

40 Andriana LN
Albany, NY 12204-1773

Mailing address

40 Andriana LN
Albany, NY 12204-1773
Phone (347) 771-6423

Other practice location 1

45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Other identifiers 1

IdentifierTypeStateIssuer
04349097MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903001563 NY Practitioner - Internal Medicine 3072828391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mikram Jafri MD PCGroup PAC ID 1052783396, 6 clinicians

Practice addresses (Care Compare)

81 Park St
Elizabethtown, NY 12932-2300
Phone (518) 873-3570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277200NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
185 Old Military Road Operating Company, LLC Past Accepting new patients
CLR Glens Falls LLC Past Accepting new patients
CLR Granville LLC Past Accepting new patients
Washington Operations Associates LLC Past Accepting new patients
Essex Operations Associates LLC Past Accepting new patients
Warren Operations Associates LLC Past Accepting new patients
Ir Operations Associates, LLC Past Accepting new patients
R.G. Psychological Services, P.C. Past Accepting new patients
Schenectady County Past Accepting new patients
Albany County Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Washington Center for Rehabilitation and HealthcareArgyle, NY, CCN 335413 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2020
Jul 1, 2020
Essex Center for Rehabilitation and HealthcareElizabethtown, NY, CCN 335478 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Granville Center for Rehabilitation and NursingGranville, NY, CCN 335331001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 15, 2024
Jul 15, 2024
Glens Falls Center for Rehabilitation and NursingGlens Falls, NY, CCN 335306 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 10, 2024
Jan 10, 2024
The Diamond Nursing and Rehabilitation CenterTroy, NY, CCN 335377001 Skilled nursing facility Contracted Managing Employee Dec 29, 2022

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1245518463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ANDRIANA LN",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041773",
            "telephone_number": "347-771-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ANDRIANA LN",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041773",
            "telephone_number": "347-771-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Reade Pl",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013947",
            "country_code": "US",
            "telephone_number": "845-454-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "MIKRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "277260",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "277200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04349097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.