Individual provider Active NPI

Shayan Nabavi Nouri, M.D.

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1609294396
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
28837 Issued in NY
Practice address
622 W 168TH St
VC2-205
New York, NY 10032-3720
Phone
(212) 305-6354
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 28837 NY Primary

Addresses

Primary practice location

622 W 168TH St
VC2-205
New York, NY 10032-3720

Mailing address

8718 Bay Parkway
Floors 1 and 2
Brooklyn, NY 11214-3725
Phone (718) 266-0900

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
I20210324001476 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2062759624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors United, IncGroup PAC ID 1153212162, 25 clinicians
Sorin Medical PCGroup PAC ID 5193966059, 17 clinicians
Kings Highway Best Medical PCGroup PAC ID 2860590833, 7 clinicians

Practice addresses (Care Compare)

174 Grand St
White Plains, NY 10601-4803

176 Grand St
White Plains, NY 10601-4803
Phone (914) 328-6080

20118 Hillside Ave
Hollis, NY 11423-2135
Phone (718) 266-0900

340 S Broadway
Yonkers, NY 10705-2049
Phone (914) 968-5125

372 Utica Ave
Brooklyn, NY 11213-5551

907 E Tremont Ave
Bronx, NY 10460-4301
Phone (718) 589-9588

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Mount Sinai West Hospital, New York, NY, CCN 330046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal21
Leg revascularization (restoring blood flow)81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28837NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aristahealth Medical Care PC CurrentSince Jul 9, 2023 Accepting new patients
Kings Highway Best Medical PC CurrentSince Sep 1, 2025 Accepting new patients
Sorin Medical PC CurrentSince Jul 18, 2023 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Yakov Levy MD PC Past Accepting new patients
Dr. Finkelshteyn Medical, P.C. Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

1421 Carroll St
Fl First
Brooklyn, NY 11213

1110 Pennsylvania Ave
Ste 8
Brooklyn, NY 11207

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

8718 Bay Pkwy
Ste 1
Brooklyn, NY 11214

8718 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 676-2478

1110 Pennsylvania Ave
Ste 7
Brooklyn, NY 11207
Phone (718) 498-1111

372 Utica Ave
#1
Brooklyn, NY 11213
Phone (347) 627-9107

20118 Hillside Ave
Jamaica, NY 11423
Phone (718) 454-2442

44 Sherman Ave
New York, NY 10040
Phone (212) 781-1057

575 W 161st St
New York, NY 10032
Phone (212) 444-8877

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

232 Sherman Ave
New York, NY 10034
Phone (212) 544-9115

5850 Catalpa Ave
Ste 1
Ridgewood, NY 11385

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHFGAA
  • Direct secure messaging: shayan.nabavi.nouri.1@8181.direct.athenahealth.com
  • Direct secure messaging: snabavinouri764327@nyumc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1609294396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8718 BAY PARKWAY",
            "address_2": "FLOORS 1 AND 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143725",
            "telephone_number": "718-266-0900",
            "fax_number": "718-266-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "VC2-205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABAVI NOURI",
        "first_name": "SHAYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-04-08",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "28837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.