Individual provider Active NPI

Mohammed Hossain Azmir, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1649585605
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
258240 Issued in NY
Practice address
123 Church Ave
Brooklyn, NY 11218-3917
Phone
(718) 975-8702
NPI assigned
Aug 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258240 NY
Nephrology Physician 207RN0300X 258240 NY Primary

Addresses

Primary practice location

123 Church Ave
Brooklyn, NY 11218-3917

Mailing address

178 Dahill Rd
Brooklyn, NY 11218-2687

Other identifiers 1

IdentifierTypeStateIssuer
03253174MedicaidNY

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
I20101221000168 NY Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Nephrology 0345438123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Church Ave
Brooklyn, NY 11218-3917
Phone (718) 975-8702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258240NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Live Well Medical Care, PC Nephrology CurrentSince May 1, 2019 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2018 Accepting new patients
24 On Physicians, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

123 Church Ave
Brooklyn, NY 11218
Phone (347) 787-3974

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

128 Beach 115th St
Rockaway Park, NY 11694
Phone (718) 474-6400

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEHBD
  • Direct secure messaging: moa9084@direct.nyp.org
  • Direct secure messaging: mohammedazmir@mai.allscriptsdirect.net

Organizations & group practices 4

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": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1649585605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 DAHILL RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183917",
            "telephone_number": "718-975-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMIR",
        "first_name": "MOHAMMED",
        "middle_name": "HOSSAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-15",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258240",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "258240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03253174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.