Active NPI
Ali Khanmohamadi, M.D.
- Geriatric Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 246929
- Practice address
- 10 Nathan D Perlman PL
New York, NY 10003-3851 - Phone
- (212) 844-1370
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 246929 | NY | Primary |
Addresses
Primary practice location
10 Nathan D Perlman PL
New York, NY 10003-3851
Mailing address
10 Nathan D Perlman PL
New York, NY 10003-3851
Phone (212) 844-1370
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
- Psychiatry
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000
100 E 77TH St
New York, NY 10075-1850
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (631) 675-4550
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
111 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3966
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
301 E Main St
Bay Shore, NY 11706-8408
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980
701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 269-1914
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320
Hospital & facility affiliations
- Phelps Hospital
- Staten Island University Hospital
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Long Island Consultation Center | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Counselor
- Elmhurst, NY
- NPI 1356016703
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1457500357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-844-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-844-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANMOHAMADI",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "246929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.