Individual provider Active NPI

Ali Safavi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
National Provider Identifier
1295728772
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
166814 Issued in NY
Practice address
75 E 116TH St
New York, NY 10029-1150
Phone
(212) 828-7700
Fax
(212) 828-7800
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 166814 NY Primary

Addresses

Primary practice location

75 E 116TH St
New York, NY 10029-1150

Mailing address

PO Box 9184
Uniondale, NY 11555-9184
Phone (212) 828-7700

Other identifiers 1

IdentifierTypeStateIssuer
01399857MedicaidNY

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
I20041104001230 NY Practitioner - Thoracic SurgeryPractitioner - General PracticePractitioner - Cardiac Surgery 6406819044 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians
St John'S Medical Services PCGroup PAC ID 1850314865, 89 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395
  • Harlem Hospital Center Hospital, New York, NY, CCN 330240
  • Woodhull Medical & Mental Health Center Hospital, Brooklyn, NY, CCN 330396
  • Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Medical Associates PC CurrentSince Jan 1, 2011 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 7, 2014 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Peninsula Medical Services PC Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Advanced Heart Physicians&Surgeons Network PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300

Networks

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

Interoperability endpoints

  • Direct secure messaging: asafavi682112@nychhc.direct-ci.com
  • Direct secure messaging: ali.safavi.1@14448.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1295728772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9184",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559184",
            "telephone_number": "212-828-7700",
            "fax_number": "212-828-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291150",
            "telephone_number": "212-828-7700",
            "fax_number": "212-828-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAVI",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "166814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01399857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.