Active NPI
Shayan Nabavi Nouri, M.D.
- Interventional Cardiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 28837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mount Sinai West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 21 |
| Leg revascularization (restoring blood flow) | 81 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28837 | NY | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aristahealth Medical Care PC | Current | Accepting new patients | |
| Kings Highway Best Medical PC | Current | Accepting new patients | |
| Sorin Medical PC | Current | 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
- https://fhir4.healow.com/fhir/r4/IHFGAA
- shayan.nabavi.nouri.1@8181.direct.athenahealth.com
- 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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1275737686
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1942543053
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- General Practice Physician
- New York, NY
- NPI 1811257785
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1982865036
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
- Obstetrics Physician
- Forest Hills, NY
- NPI 1124204490
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.