Active NPI
Javeed A Mir, MD
- Internal Medicine Physician
- Batavia, NY
National Provider Identifier
1467417683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1909011
- Practice address
- 34 Swan St
Suite 3
Batavia, NY 14020-3232 - Phone
- (585) 343-4441
- Fax
- (585) 345-1590
- NPI assigned
- Apr 19, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1909011 | NY | Primary |
Addresses
Primary practice location
34 Swan St
Suite 3
Batavia, NY 14020-3232
Mailing address
34 Swan St
Suite 3
Batavia, NY 14020-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01547373 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19010 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 1909011 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Memorial Medical Center | Current | Accepting new patients | |
| United Memorial Medical Center | Internal Medicine | Current | Accepting new patients |
| Guler Cardiology and Wellness | Past | Accepting new patients |
Locations
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
127 North St
Batavia, NY 14020
Phone (585) 267-7510
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
Internal Medicine
-
- Cardiovascular Disease Physician
- Batavia, NY
- NPI 1801495320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1467417683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 SWAN ST",
"address_2": "SUITE 3",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140203232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 SWAN ST",
"address_2": "SUITE 3",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140203232",
"telephone_number": "585-343-4441",
"fax_number": "585-345-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIR",
"first_name": "JAVEED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1909011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01547373",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.