Active NPI
Ali Ahmadizadeh, MD
- Otolaryngology Physician
- Plainview, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 254098
- Practice address
- 875 Old Country Rd
Plainview, NY 11803-4942 - Phone
- (516) 931-5552
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 254098 | NY | |
| Otolaryngology Physician | 207Y00000X | 254098 | NY | Primary |
Addresses
Primary practice location
875 Old Country Rd
Plainview, NY 11803-4942
Mailing address
875 Old Country Rd
Plainview, NY 11803-4942
Phone (516) 931-5552
Other practice location 1
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Phone (718) 430-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03239012 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
875 Old Country Rd
FL 2
Plainview, NY 11803-4942
Phone (516) 470-8916
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254098 | NY | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Medalliance Medical Health Services Inc | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New York, PLLC | Current | Accepting new patients | |
| Lenox Hill Hospital Medical, PC | Family Medicine | Current | Accepting new patients |
| Personal Health Imaging, PLLC | Past | Accepting new patients |
Locations
2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300
625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
875 Old Country Rd
Fl 2
Plainview, NY 11803
Phone (516) 470-8916
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- aahmadizadeh67602@northwell.direct-ci.com
Organizations & group practices 6
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Family Medicine
-
dba Sound Physicians Emergency Medicine of New York
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
-
- Internal Medicine Physician
- Westbury, NY
- NPI 1326328188
Family Medicine
-
- Clinic/Center
- Bronx, NY
- NPI 1558356741
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1376598805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034942",
"telephone_number": "516-931-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034942",
"telephone_number": "516-931-5552"
}
],
"practiceLocations": [
{
"address_1": "2475 Saint Raymonds Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104613124",
"country_code": "US",
"telephone_number": "718-430-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMADIZADEH",
"first_name": "ALI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "254098",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "254098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03239012",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.