Individual provider Active NPI

Amir Hootan Darvish, MD

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1386717783
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
225767 Issued in NY
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

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02321153MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, OH, NC, IN, IL, FL, MI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20071001000045 MA Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 2 organizations
I20210913000935 NY Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization
I20220913001252 OH Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization
I20230310000230 NC Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization
I20231218001503 IN Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization
I20240206004776 IL Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization
I20240621002814 FL Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization
I20250509002383 MI Practitioner - Emergency Medicine 2567557952 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jun 9, 2021 Accepting new patients
Cityblock Medical Practice, LLC CurrentSince Sep 1, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Jun 9, 2021 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Jan 26, 2023 Accepting new patients
Tufts Medical Center Ep LLC Emergency Medicine CurrentSince Mar 31, 2010 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince May 1, 2015 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

  • Direct secure messaging: amir.darvish.1@27775.direct.athenahealth.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.