Individual provider Active NPI

Shahriyour Andaz, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynbrook, NY
National Provider Identifier
1497735153
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
216421-1 Issued in NY
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.

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 SurgeryAlso: General 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. 3 clinicians

Practice addresses (Care Compare)

444 Merrick Rd
Suite 102
Lynbrook, NY 11563-2400
Phone (516) 255-5013

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001393 NY Practitioner - Thoracic SurgeryPractitioner - General Surgery 2163336298 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216421-1NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew 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) PastSince Nov 12, 2011 Accepting new patients
Larry I. Good, M.D. , P.C. PastSince Aug 21, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 216421-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
02170116MedicaidNY

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

Verify at the official NPI Registry.