Individual provider Active NPI

Mani Hamedi, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1588776751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
221088 Issued in NY
Practice address
620 Broadway Apt 3R
New York, NY 10012-2616
Phone
(310) 766-7816
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 221088 NY Primary

Addresses

Primary practice location

620 Broadway Apt 3R
New York, NY 10012-2616

Mailing address

620 Broadway Apt 3R
New York, NY 10012-2616
Phone (310) 766-7816

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
I20070910000583 NY Practitioner - Anesthesiology 9830282664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Pelham Pkwy N
Bronx, NY 10469-5411
Phone (718) 515-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221088NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nye Medical Services PC Anesthesiology CurrentSince Jul 1, 2014 Accepting new patients
Anesthesia Associates of New York and New Jersey,PC Anesthesiology Past Accepting new patients
Westend Medical Services,PC Past Accepting new patients
Blair S. Lewis, M.D.,P.C. PastSince Feb 6, 2009 Accepting new patients
Lo-West Anesthesia, PLLC Anesthesiology Past Accepting new patients
East Manhattan Medical Services,PC PastSince Nov 13, 2011 Accepting new patients
Ae & Ly Medical Associates PLLC PastSince Jun 1, 2007 Accepting new patients
St Kilda Medical Service,PLLC PastSince Dec 1, 2010 Accepting new patients
Manhattan West Side Medical Service PLLC PastSince Mar 1, 2020 Accepting new patients

Locations

1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1808/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588776751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BROADWAY APT 3R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122616",
            "telephone_number": "310-766-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BROADWAY APT 3R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122616",
            "telephone_number": "310-766-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEDI",
        "first_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "221088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.