Haroutiun Chavarch Avedissian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

210756 Issued in NY

Practice address

Olmmc, Dept. of Medicine
600 East 233 STR.
Bronx, NY 10466

Phone

(718) 920-9889

Fax

(718) 920-9036

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1013345065
  NPD (past)
• Our Lady of Mercy Ambulatory Care Center, Inc.

  • Podiatric Clinic/Center
  • Bronx, NY
  • NPI 1477704948
  NPD (past)
• Our Lady of Mercy Medical Center

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1669412847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669522744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 43RD ST",
            "address_2": "APT. 36 E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364327",
            "telephone_number": "212-695-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLMMC, DEPT. OF MEDICINE",
            "address_2": "600 EAST 233 STR.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-920-9889",
            "fax_number": "718-920-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVEDISSIAN",
        "first_name": "HAROUTIUN",
        "middle_name": "CHAVARCH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01859576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Robert Avanzato, D.O
• Christopher Avanzato, D.O.
• Dominique Charnel Avary, LMSW
• Alla Avdashchenko, MA, CCC-A
• Joan Takhouhui Avedisian, LCSW
• Aventus Ride, Inc.
• Yelena Averbukh, M.D.
• Lindsay Averill
• Brezan Avery
• Isagani Aves

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.