Individual provider Active NPI

Azadeh Beheshtian, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1508136276
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME133803 Issued in FL
Practice address
15 Park Ave
New York, NY 10016-4348
Phone
(347) 558-4094
Fax
(833) 224-5817
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME133803 FL Primary

Addresses

Primary practice location

15 Park Ave
New York, NY 10016-4348

Mailing address

15 Park Ave
New York, NY 10016-4348
Phone (347) 558-4094

Other practice location 1

115 E 64th St
New York, NY 10065-7071
Phone (347) 558-4094

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
I20150928002602 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional CardiologyPractitioner - Interventional Radiology 9931417730 Reassigns benefits to 3 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azadeh Beheshtian MD PLLCGroup PAC ID 1254752553, 3 clinicians

Practice addresses (Care Compare)

6 E 45TH St
FL 9
New York, NY 10017-2401
Phone (347) 558-4094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133803FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
115 E 64TH Street Medical, PLLC CurrentSince Oct 16, 2022 Accepting new patients
New York University CurrentSince Jan 1, 2022 Accepting new patients
New York University CurrentSince Jan 1, 2022 Accepting new patients
North Shore-Lij Medical PC PastSince Mar 1, 2020 Accepting new patients

Locations

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

Interoperability endpoints

  • Direct secure messaging: abeheshtian434671@nyumc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508136276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "347-558-4094",
            "fax_number": "347-558-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "347-558-4094",
            "fax_number": "833-224-5817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E 64th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100657071",
            "country_code": "US",
            "telephone_number": "347-558-4094",
            "fax_number": "833-224-5817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHESHTIAN",
        "first_name": "AZADEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2025-09-11",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME133803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.