Individual provider Active NPI

Tamara U Sabzanova, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1508809351
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
220227 Issued in NY
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

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1846T1OtherNYEMPIRE BCBS
02203616MedicaidNY
1846T2OtherNYEMPIRE BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000517 NY Practitioner - AnesthesiologyPractitioner - Cardiovascular Disease (Cardiology) 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

LicenseStateTypeSpecialty
220227NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Office Anesthesia, P.C Anesthesiology CurrentSince Sep 6, 2008 Accepting new patients
Gastroenterology Associates of Brooklyn PLLC CurrentSince Mar 23, 2024 Accepting new patients
Male and Female Urology PLLC CurrentSince Dec 2, 2010 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.