Individual provider Active NPI

Hoorbod Delshadfar

  • General Practice Physician
  • Forest Hills, NY
National Provider Identifier
1629276597
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
244818 Issued in NY
Practice address
6902 Austin St 2
Forest Hills, NY 11375
Phone
(718) 793-6800
Fax
(347) 392-4179
NPI assigned
Jul 3, 2007
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 244818 NY Primary

Addresses

Primary practice location

6902 Austin St 2
Forest Hills, NY 11375

Mailing address

10 Shore Dr
Great Neck, NY 11021-1711

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
I20110420000722 NY Practitioner - Internal Medicine 2365627171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

287 Northern Blvd
Suite 108
Great Neck, NY 11021-4717
Phone (516) 482-0500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244818NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoorbod Delshadfar Medical PC CurrentSince Jul 25, 2018 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Jul 1, 2025 Accepting new patients
Medical Sinai Healthcare PC. CurrentSince Sep 1, 2021 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Doral Pharmacy LLC Past Accepting new patients
North Shore University Hospital Past Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

331 Knickerbocker Ave
Brooklyn, NY 11237
Phone (718) 971-1944

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

6902 Austin St
Fl 2
Forest Hills, NY 11375
Phone (516) 424-2862

6902 Austin St
Ste 2
Forest Hills, NY 11375
Phone (718) 263-5222

6506 Myrtle Ave
Glendale, NY 11385
Phone (718) 316-9600

287 Northern Blvd
Ste 108
Great Neck, NY 11021
Phone (516) 418-6942

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

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

Interoperability endpoints

  • Direct secure messaging: hoorboddelshadfar@mai.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1629276597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHORE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 AUSTIN ST 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-793-6800",
            "fax_number": "347-392-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSHADFAR",
        "first_name": "HOORBOD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "244818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.