Hany G Nissiem, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

227675 Issued in NY

Practice address

6565 Fourth Section Rd
Suite 300
Brockport, NY 14420-2416

Phone

(585) 395-0620

Fax

(585) 395-0622

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
• Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brfm@brfm.medicalservices.net

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.

• Brockport Medical Care PLLC

  • Urgent Care Clinic/Center
  • Brockport, NY
  • NPI 1477996353
  Medicare reassignment NPD Authorized official
• Doctor Hany G Nissiem Family Medicine PLLC

  • Family Medicine Physician
  • Brockport, NY
  • NPI 1184670283
  Medicare reassignment NPD Authorized official
• Dr. Shoukri M. Wisa Medical Care PLLC

  • Hematology & Oncology Physician
  • Batavia, NY
  • NPI 1821283912
  NPD (past)

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

• Genesee Region Home Care Association Inc.

  • Home Health Agency
  • Rochester, NY
  • NPI 1801819271
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation
• Visiting Nursing Association of Western New York, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1730268384
  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1295782399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FOURTH SECTION RD",
            "address_2": "SUITE 300",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202416",
            "telephone_number": "585-395-0620",
            "fax_number": "585-395-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FOURTH SECTION RD",
            "address_2": "SUITE 300",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202416",
            "telephone_number": "585-395-0620",
            "fax_number": "585-395-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSIEM",
        "first_name": "HANY",
        "middle_name": "G",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musheer Hussain PC
• Lucas Myer, LCSW, CASAC
• Kelly Nauerth
• New Horizons Family Care
• Amber Marie Nichols, MS, ATC, PES
• Esther Nowak, PT
• Wendy Nupp, RDH
• Oak Orchard Community Health Center
• Oak Orchard Community Health Center Inc.
• Oak Orchard Community Health Center, Inc.

• Family Medicine Physician in Brockport, NY
• Providers in Brockport, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.

Verify at the official NPI Registry.