Individual provider Active NPI

Sayed Farhad Rasuli, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1568299832
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-P131091-01 Issued in NY
Practice address
1800 Waring Ave
Bronx, NY 10469-6331
Phone
(718) 379-4400
NPI assigned
Sep 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-P131091-01 NY Primary

Addresses

Primary practice location

1800 Waring Ave
Bronx, NY 10469-6331

Mailing address

3408 Avenue J
Brooklyn, NY 11210-4126
Phone (646) 667-6149

Other practice location 1

10 Claremont Ave # 1609
Mount Vernon, NY 10550-1609
Phone (914) 699-1600

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
I20241009001620 NY Practitioner - Internal Medicine 1254862691 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60-P131091-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Medical Associate PLLC Internal Medicine CurrentSince Feb 27, 2025 Accepting new patients
K & H Medical PLLC Past Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

Organizations & group practices 2

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1568299832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 AVENUE J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104126",
            "telephone_number": "646-667-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WARING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696331",
            "telephone_number": "718-379-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Claremont Ave # 1609",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105501609",
            "country_code": "US",
            "telephone_number": "914-699-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASULI",
        "first_name": "SAYED FARHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P131091-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.