Individual provider Active NPI

Ramin Hodjati, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1407833502
Registry record updated Jul 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
233196 Issued in NY
Practice address
515 Audubon Ave
New York, NY 10040-3403
Phone
(212) 342-9295
Fax
(646) 626-6432
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233196 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 233196 NY Primary

Addresses

Primary practice location

515 Audubon Ave
New York, NY 10040-3403

Mailing address

515 Audubon Ave
New York, NY 10040-3403
Phone (917) 981-7297

Other identifiers 1

IdentifierTypeStateIssuer
02645247MedicaidNY

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
I20050326000041 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5890741466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 Audubon Ave
New York, NY 10040-3403
Phone (212) 342-9495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233196NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hodjati Medical PC Internal Medicine CurrentSince May 8, 2011 Accepting new patients
Isabella Geriatric Center, Inc. Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
St Lukes Roosevelt Community Care Internal Medicine Past Accepting new patients

Locations

515 Audubon Ave
New York, NY 10040
Phone (212) 342-9200

Organizations & group practices 4

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.

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310774400000",
    "number": "1407833502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403403",
            "telephone_number": "917-981-7297",
            "fax_number": "646-626-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403403",
            "telephone_number": "212-342-9295",
            "fax_number": "646-626-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODJATI",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233196",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "233196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.