Active NPI
Tamara U Sabzanova, MD
- Anesthesiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 220227
- Practice address
- 2177 65TH St FL 2
Brooklyn, NY 11204-3928 - Phone
- (718) 795-7407
- Fax
- (718) 997-7904
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 220227 | NY | Primary |
Addresses
Primary practice location
2177 65TH St FL 2
Brooklyn, NY 11204-3928
Mailing address
6532 Ellwell Cres
Rego Park, NY 11374-5032
Phone (718) 795-7407
Other practice location 1
9971 65th Rd Fl 1
Rego Park, NY 11374-3654
Phone (718) 795-7407
Other practice location 2
8622 Bay Pkwy
Brooklyn, NY 11214-4168
Phone (718) 795-7407
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1846T1 | Other | NY | EMPIRE BCBS |
| 02203616 | Medicaid | NY | |
| 1846T2 | Other | NY | EMPIRE BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fax | Direct |
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 |
|---|---|---|---|---|
| I20070525000517 | NY | Practitioner - Anesthesiology | 9032216007 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9971 65TH Rd
FL 1
Rego Park, NY 11374-3654
Phone (718) 795-7407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220227 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Office Anesthesia, P.C | Anesthesiology | Current | Accepting new patients |
| Gastroenterology Associates of Brooklyn PLLC | Current | Accepting new patients | |
| Male and Female Urology PLLC | Current | Accepting new patients | |
| Boulevard Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
Locations
902 Quentin Rd
Ste 701
Brooklyn, NY 11223
Phone (718) 336-3900
2177 65th St
Fl 2
Brooklyn, NY 11204
Phone (718) 238-1555
902 Quentin Rd
Fl 7
Brooklyn, NY 11223
Phone (718) 336-3900
8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEGGCA
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.
-
- Anesthesiology Physician
- Rego Park, NY
- NPI 1659528586
Anesthesiology, NY
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1821427964
NY
-
- Urology Physician
- Rego Park, NY
- NPI 1497053508
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1295770196
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1508809351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6532 ELLWELL CRES",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745032",
"telephone_number": "718-795-7407",
"fax_number": "718-997-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 65TH ST FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043928",
"telephone_number": "718-795-7407",
"fax_number": "718-997-7904"
}
],
"practiceLocations": [
{
"address_1": "9971 65th Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113743654",
"country_code": "US",
"telephone_number": "718-795-7407",
"fax_number": "718-997-7904",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8622 Bay Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112144168",
"country_code": "US",
"telephone_number": "718-795-7407",
"fax_number": "718-997-7904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABZANOVA",
"first_name": "TAMARA",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "220227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "1846T1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02203616",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "1846T2",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fax",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6532 Ellwell Cres",
"city": "Rego Park",
"state": "NY",
"country_code": "US",
"postal_code": "113745032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.