Active NPI
Shahriyour Andaz, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynbrook, NY
National Provider Identifier
1497735153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 216421-1
- Practice address
- 444 Merrick Rd
Suite 380
Lynbrook, NY 11563-2460 - Phone
- (516) 255-5010
- Fax
- (516) 255-5020
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
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- Diagnostic Radiology Physician
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- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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- NPI 1629032982
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Long Island Thoracic Surgery P.C.
Practice addresses (Care Compare)
444 Merrick Rd
Suite 102
Lynbrook, NY 11563-2400
Phone (516) 255-5013
Hospital & facility affiliations
- Mercy Medical Center
- Mount Sinai South Nassau
- Chsli St Joseph Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041019001393 | NY | Practitioner - Thoracic Surgery | 2163336298 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216421-1 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Group Medical Associates, P.C | Past | Accepting new patients | |
| South Nassau Communities Hospital | Past | Accepting new patients | |
| The Regents of the University of California | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Larry I. Good, M.D. , P.C. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 216421-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
444 Merrick Rd
Suite 380
Lynbrook, NY 11563-2460
Mailing address
444 Merrick Rd
Suite 380
Lynbrook, NY 11563-2460
Phone (516) 255-5010
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02170116 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2013.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1497735153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MERRICK RD",
"address_2": "SUITE 380",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632460",
"telephone_number": "516-255-5010",
"fax_number": "516-255-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MERRICK RD",
"address_2": "SUITE 380",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632460",
"telephone_number": "516-255-5010",
"fax_number": "516-255-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDAZ",
"first_name": "SHAHRIYOUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "216421-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02170116",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.