Active NPI
Amir Hootan Darvish, MD
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 225767
- Practice address
- 750 Washington Street
Dept of Emergency Medicine
Boston, MA 02111 - Phone
- (617) 636-4720
- NPI assigned
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 225767 | NY | Primary |
Addresses
Primary practice location
750 Washington Street
Dept of Emergency Medicine
Boston, MA 02111
Mailing address
331B Perkins St
Jamaica Plain, MA 02130-4003
Phone (917) 804-5628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02321153 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY, OH, NC, IN, IL, FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Cityblock Medical Practice, LLC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Cityblock Medical Practice, P.a. | Current | Accepting new patients | |
| Tufts Medical Center Ep LLC | Emergency Medicine | Current | Accepting new patients |
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| St Lukes Roosevelt Hospital Center | Emergency Medicine | Past | Accepting new patients |
Locations
15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529
16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303
4444 The Plaza
Unit 18
Charlotte, NC 28215
546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800
101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000
55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001
800 N High St
Ste 4102
Columbus, OH 43215
Phone (347) 463-5529
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- amir.darvish.1@27775.direct.athenahealth.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
- adarvish29542@tuftsmedicine.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1609015262
-
dba AdvantageCare Physicians
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
FL, IL, MI, NC
-
dba AdvantageCare Physicians Urgent Care
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
dba Emergency Medicine Associates of SLR
- Emergency Medicine Physician
- New York, NY
- NPI 1134211717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1386717783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331B PERKINS ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304003",
"telephone_number": "917-804-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WASHINGTON STREET",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02111",
"telephone_number": "617-636-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVISH",
"first_name": "AMIR",
"middle_name": "HOOTAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "225767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02321153",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.