Individual provider Active NPI

Bakir Altai, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1275628182
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA05389100 Issued in NJ
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

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2318407MedicaidNJ
621816OtherNJPTAN

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
I20110822000041 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 5991732570 Practice locations: Flushing, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular 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

LicenseStateTypeSpecialty
25MA05389100NJMDVascular Surgery Physician
1737871NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.