NPIMap

Individual provider Active NPI

John Kamran Nia, M.D.

  • MOHS-Micrographic Surgery Physician
  • Spokane, WA
National Provider Identifier
1396155297
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD61086676 Issued in WA
Practice address
510 S Cowley St Ste 201
Spokane, WA 99202-1332
Phone
(509) 252-1299
NPI assigned
Apr 30, 2014
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD61086676 WA
MOHS-Micrographic Surgery Physician 207ND0101X 280740 NY
Student in an Organized Health Care Education/Training Program 390200000X
MOHS-Micrographic Surgery Physician 207ND0101X MD61086676 WA Primary
Dermatology Physician 207N00000X 280740 NY

Addresses

Primary practice location

510 S Cowley St Ste 201
Spokane, WA 99202-1332

Mailing address

10 W End Ave Apt 6J
New York, NY 10023-7828

Other practice location 1

100 E 77th St
New York, NY 10075-1850
Phone (212) 434-2000

Other practice location 2

10 Union Sq E # 3C
New York, NY 10003-3314
Phone (212) 844-8800

Other practice location 3

5 E 98th St Fl 5
New York, NY 10029-6501
Phone (212) 241-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190930000718 NY Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5698029692 Reassigns benefits to 6 organizations
I20200824001413 WA Practitioner - Dermatology 5698029692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruth Kaplan Treiber MD and Eric S Treiber MDGroup PAC ID 7416231626, 4 clinicians
Westchester Dermatology Group PLLCGroup PAC ID 9335617299, 4 clinicians
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians

Practice addresses (Care Compare)

175 Purchase St
Rye, NY 10580-2137
Phone (914) 967-2153

220 Front St
New York, NY 10038-2033
Phone (212) 385-3700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
96.13
Promoting interoperability
100
Improvement activities
40
Cost
79.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of tissue1-10
Removal of skin lesions16
Removal of skin cancer156
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280740NYMDDermatology Physician
MD61086676WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Specs of PA PLLC Dermatology CurrentSince Feb 25, 2024 Accepting new patients
John K Nia MD PC Mohs-Micrographic Surgery CurrentSince Jan 20, 2025 Accepting new patients
Spring Street Dermatology, PLLC Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Ellen C. Gendler, M.D., P.C. Dermatology CurrentSince Apr 20, 2023 Accepting new patients
Atlas Infectious Disease Practice PLLC Past Accepting new patients
Out East Medical Dermatology PastSince Jun 15, 2021 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Austin FP Past Accepting new patients

Locations

10406 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 275-8100

1027 46th Ave
Fl 1
Long Island City, NY 11101

4 W 58th St
Fl 13
New York, NY 10019
Phone (212) 431-4749

75 Spring St
Fl 2
New York, NY 10012
Phone (212) 431-4749

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jknia@treiberderm.emadirect.md

Organizations & group practices 12

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1396155297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W END AVE APT 6J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-252-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Union Sq E # 3C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033314",
            "country_code": "US",
            "telephone_number": "212-844-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 E 98th St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296501",
            "country_code": "US",
            "telephone_number": "212-241-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIA",
        "first_name": "JOHN",
        "middle_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD61086676",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "280740",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD61086676",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "280740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.