Individual provider Active NPI

Saba Abolahrari, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mineola, NY
National Provider Identifier
1346483377
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2514811 Issued in NY
Practice address
260 First St
Apt A15
Mineola, NY 11501
Phone
(516) 294-1784
NPI assigned
Apr 6, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2514811 NY Primary

Addresses

Primary practice location

260 First St
Apt A15
Mineola, NY 11501

Mailing address

260 1St St
Apta15
Mineola, NY 11501-2359
Phone (151) 629-4178

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
I20090512000558 NY Practitioner - Internal MedicinePractitioner - Family Practice 9032268552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 Palmer Ave
Mamaroneck, NY 10543-2406
Phone (917) 547-5614

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.32 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
61.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2514811NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saba Medical PC Geriatric Medicine CurrentSince Oct 1, 2011 Accepting new patients
Forest Hills Dermatology Group PLLC CurrentSince Sep 1, 2012 Accepting new patients
Somers Operating LLC Past Accepting new patients
Jewish Home Lifecare Sarah Neuman Center Westchester Past Accepting new patients
Palmer Avenue SNF Operations LLC Past Accepting new patients

Locations

845 Palmer Ave
Mamaroneck, NY 10543
Phone (914) 357-0795

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

391 Pelham Rd
New Rochelle, NY 10805
Phone (914) 632-2804

189 Route 100
Somers, NY 10589
Phone (914) 232-5101

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Paramount at Somers Rehabilitation and Nursing CenterSomers, NY, CCN 335261 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 1, 2024
Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1346483377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 1ST ST",
            "address_2": "APTA15",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012359",
            "telephone_number": "151-629-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FIRST ST",
            "address_2": "APT A15",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-294-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOLAHRARI",
        "first_name": "SABA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "2514811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.