Individual provider Active NPI

Ramin Mostafavi, M.D.

  • Ophthalmology Physician
  • Staten Island, NY
National Provider Identifier
1619974433
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
221505 Issued in NY
Practice address
445 Clawson St
Staten Island, NY 10306-4328
Phone
(718) 370-2222
Fax
(718) 351-9334
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 221505 NY Primary

Addresses

Primary practice location

445 Clawson St
Staten Island, NY 10306-4328

Mailing address

445 Clawson St
Staten Island, NY 10306-4328
Phone (718) 370-2222

Other identifiers 1

IdentifierTypeStateIssuer
02224459MedicaidNY

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
I20050112000592 NY Practitioner - Ophthalmology 4587612973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Mostafavi MD Ophthamologist PCGroup PAC ID 7911066501, 5 clinicians

Practice addresses (Care Compare)

3860 Victory Blvd
Staten Island, NY 10314-6720
Phone (718) 370-2222

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221505NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R Mostafavi MD Ophthamologist PC Ophthalmology CurrentSince Jun 6, 2008 Accepting new patients
Victory Blvd Medical Procedures PC Current Accepting new patients
Noreen Kamal-Mostafavi MD PLLC PastSince Sep 1, 2018 Accepting new patients

Locations

3860 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2222

445 Clawson St
Staten Island, NY 10306
Phone (718) 351-0525

Networks

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

Organizations & group practices 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1619974433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CLAWSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064328",
            "telephone_number": "718-370-2222",
            "fax_number": "718-351-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CLAWSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064328",
            "telephone_number": "718-370-2222",
            "fax_number": "718-351-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAFAVI",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "221505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02224459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.