Individual provider Active NPI

Mahmood Mehdi Kazmi

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1669438875
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200168 Issued in NY
Practice address
3329 Bainbridge Ave
Bronx, NY 10467-2801
Phone
(718) 515-4347
Fax
(718) 653-8641
NPI assigned
Apr 25, 2006
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200168 NY
Psychiatry Physician 2084P0800X 200168 NY Primary

Addresses

Primary practice location

3329 Bainbridge Ave
Bronx, NY 10467-2801

Mailing address

4234 Bronx Blvd
FRNT 1
Bronx, NY 10466-2669
Phone (718) 515-4347

Other identifiers 12

IdentifierTypeStateIssuer
01611518MedicaidNY
1361624OtherNYUNITED HEALTH CARE
11130OtherNYHIP CMO
196107OtherNYMANAGED HEALTHNET
134046855OtherNYTAX ID#
134046855OtherNY1199
5751811002OtherNYCIGNA
200168OtherNYHIP
5282148OtherNYAETNA
0H1337OtherNYHEALTH NET OF NORTHEAST
MK0298BB10OtherNYBC/BS
P909239OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060105000810 NY Practitioner - Psychiatry 6305869280 Reassigns benefits to 6 organizations
I20240614000859 NJ Practitioner - Psychiatry 6305869280 Reassigns benefits to 1 organization
I20250711001949 TN Practitioner - NeurologyPractitioner - Psychiatry 6305869280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians
Regional Neurological Associates, PCGroup PAC ID 6709809452, 7 clinicians
Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

295 Madison Ave
RM 407
New York, NY 10017-6438
Phone (332) 334-1511

4256 Bronx Blvd
Suite 5
Bronx, NY 10466-2673
Phone (718) 515-4347

63 Walton St
Apt 602
Brooklyn, NY 11206-3236
Phone (347) 667-7924

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.36 of 100Reported as individual
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
54.19

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200168NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center CurrentSince May 26, 2018 Accepting new patients
Regional Neurological Associates, PC Specialist CurrentSince May 30, 2016 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
Cordial Health TN PC Psychiatry CurrentSince May 24, 2025 Accepting new patients
Access: Supports for Living Inc CurrentSince Mar 8, 2017 Accepting new patients
Wellspring Psychiatry PLLC Psychiatry CurrentSince Jan 14, 2026 Accepting new patients
Sehwan Medical Care PLLC Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Cordial Health PC Psychiatry CurrentSince May 24, 2024 Accepting new patients
St Josephs Hospital Yonkers CurrentSince May 26, 2018 Accepting new patients
Access: Supports for Living Inc. CurrentSince Mar 8, 2017 Accepting new patients
Big Leap Medical Group PA Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
Cordial Health FL PA Psychiatry Past Accepting new patients

Locations

661 E Palisade Ave
Ste A4
Englewood Cliffs, NJ 07632
Phone (201) 408-4777

3329 Bainbridge Ave
Bronx, NY 10467
Phone (212) 744-6990

4234 Bronx Blvd
Bronx, NY 10466
Phone (347) 341-4300

4234 Bronx Blvd
Frnt 1
Bronx, NY 10466
Phone (347) 341-4300

4256 Bronx Blvd
Ste 5
Bronx, NY 10466
Phone (718) 655-9111

831 Bedford Ave
Brooklyn, NY 11205

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

107 S Broadway
Yonkers, NY 10701
Phone (914) 378-7110

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

45 Ludlow St
Ste 402
Yonkers, NY 10705
Phone (914) 570-9000

970 N Broadway
Ste 201
Yonkers, NY 10701
Phone (914) 966-1900

970 N Broadway
Ste 210
Yonkers, NY 10701
Phone (914) 963-0111

984 N Broadway
Ste 510
Yonkers, NY 10701
Phone (718) 794-0600

1910 Madison Ave
Memphis, TN 38104
Phone (318) 828-2807

Networks

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

Interoperability endpoints

  • Direct secure messaging: drkazmi@rna.directmedgenehr.com
  • Direct secure messaging: mahmoon.kazmi.p1@direct.saintjosephs.nextgenshare.com

Organizations & group practices 12

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 8

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1669438875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 BRONX BLVD",
            "address_2": "FRNT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662669",
            "telephone_number": "718-515-4347",
            "fax_number": "718-653-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672801",
            "telephone_number": "718-515-4347",
            "fax_number": "718-653-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMI",
        "first_name": "MAHMOOD",
        "middle_name": "MEHDI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "200168",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "200168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01611518",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1361624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP CMO",
            "identifier": "11130",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTHNET",
            "identifier": "196107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "134046855",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "134046855",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5751811002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "200168",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5282148",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF NORTHEAST",
            "identifier": "0H1337",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "MK0298BB10",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P909239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.