Individual provider Active NPI

Benjamin Abiri, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1568876472
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
286268 Issued in NY
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 263-5506
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 286268 NY Primary

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-5506

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
I20200714000800 NY Practitioner - Diagnostic Radiology 3476802513 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Optum Urgent Care PLLCGroup PAC ID 8628299518, 68 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

148 Sunrise Hwy
West Islip, NY 11795-2012
Phone (631) 620-3580

15636 A Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-0700

16450 Crossbay Blvd
Howard Beach, NY 11414-3749
Phone (718) 848-8412

2322 30TH Ave
Astoria, NY 11102-3255
Phone (718) 267-2763

555 N Broadway
Jericho, NY 11753-2134
Phone (516) 597-5070

5901 69TH St
Maspeth, NY 11378-2946
Phone (718) 639-3338

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Urgent Care, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 5, 2023 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Sep 30, 2023 Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Jun 5, 2023 Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Sep 30, 2023 Accepting new patients
Optum Medical Care, P.C. PastSince Sep 24, 2023 Accepting new patients
Mount Kisco Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450

60 Merritt Blvd
Fishkill, NY 12524
Phone (845) 440-1280

10 Cranberry Dr
Hopewell Junction, NY 12533
Phone (845) 705-5097

15636 Crossbay Blvd
#A
Howard Beach, NY 11414
Phone (718) 738-0700

339 Main St
Huntington, NY 11743
Phone (631) 470-9000

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

111 Bedford Rd
Katonah, NY 10536
Phone (914) 232-3135

5901 69th St
Maspeth, NY 11378
Phone (718) 639-3338

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

95 Crystal Run Rd
Middletown, NY 10941
Phone (845) 703-3800

155 Crystal Run Rd
Middletown, NY 10941

855 State Route 17M
Monroe, NY 10950
Phone (845) 615-6999

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

105 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 241-7796

2403 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 248-3210

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

2800 Marcus Ave
Ste 101
New Hyde Park, NY 11042
Phone (516) 622-6100

2800 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 622-7400

1200 Route 300
Newburgh, NY 12550
Phone (845) 220-1113

30 Columbia St
Poughkeepsie, NY 12601
Phone (845) 483-5934

2507 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-2287

6734 Route 9
Rhinebeck, NY 12572
Phone (845) 876-3202

61 Emerald Pl
Rock Hill, NY 12775
Phone (845) 703-8999

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 8

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1568876472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIRI",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "286268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.