Individual provider Active NPI

Kazi Jannath Ara, DO

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1326668559
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
325549 Issued in NY
Practice address
8831 55TH Ave
Elmhurst, NY 11373-5293
Phone
(646) 680-4227
Fax
(718) 943-2625
NPI assigned
Apr 17, 2020
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 325549 NY Primary

Addresses

Primary practice location

8831 55TH Ave
Elmhurst, NY 11373-5293

Mailing address

8831 55TH Ave
Elmhurst, NY 11373-5293
Phone (646) 680-4227

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
I20231102000187 NY Practitioner - Family Practice 9739535360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

88 -31
Elmhurst, NY 11373-4686
Phone (718) 899-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325549NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Family Medicine CurrentSince Jul 8, 2024 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 8, 2024 Accepting new patients
Jamaica Hospital CurrentSince Sep 27, 2023 Accepting new patients
Jamaica Hospital CurrentSince Sep 27, 2023 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

8831 55th Ave
Elmhurst, NY 11373

8831 55th Ave
#201
Elmhurst, NY 11373

55 Water St
Fl 2
New York, NY 10041

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: kara53689@direct.acpny.com
  • Direct secure messaging: kara81212@direct.medisys.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1326668559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735293",
            "telephone_number": "646-680-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735293",
            "telephone_number": "646-680-4227",
            "fax_number": "718-943-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARA",
        "first_name": "KAZI",
        "middle_name": "JANNATH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "325549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.