Active NPI
Bakir Altai, M.D.
- Vascular Surgery Physician
- Brooklyn, NY
National Provider Identifier
1275628182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA05389100
- Practice address
- 348 13TH St
Brooklyn, NY 11215-6177 - Phone
- (212) 444-2209
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA05389100 | NJ | Primary |
| Vascular Surgery Physician | 2086S0129X | 1737871 | NY |
Addresses
Primary practice location
348 13TH St
Brooklyn, NY 11215-6177
Mailing address
320 7TH Ave
PMB # 202
Brooklyn, NY 11215-4194
Phone (212) 444-2209
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2318407 | Medicaid | NJ | |
| 621816 | Other | NJ | PTAN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110822000041 | NY | Practitioner - General Surgery | 5991732570 | Practice locations: Flushing, NY; New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1865 Amsterdam Ave
New York, NY 10031-1716
Phone (212) 444-2209
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05389100 | NJ | MD | Vascular Surgery Physician |
| 1737871 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakir Altai MD | Past | Accepting new patients | |
| Bakir Mohammed Altai | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Brooklyn, NY
- NPI 1659659571
-
- Vascular Surgery Physician
- New York, NY
- NPI 1154613214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1275628182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 7TH AVE",
"address_2": "PMB # 202",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154194",
"telephone_number": "212-444-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 13TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112156177",
"telephone_number": "212-444-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAI",
"first_name": "BAKIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA05389100",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "1737871",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2318407",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "621816",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.