NPIMap

Individual provider Active NPI

Jahangir Koleini, MD

  • General Practice Physician
  • West Seneca, NY
National Provider Identifier
1689687857
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
167700 Issued in NY
Practice address
2339 Uniun Road
Suite 1
West Seneca, NY 14224-1447
Phone
(716) 668-8226
Fax
(716) 668-4756
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 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 167700 NY Primary

Addresses

Primary practice location

2339 Uniun Road
Suite 1
West Seneca, NY 14224-1447

Mailing address

2339 Uniun Road
Suite 1
West Seneca, NY 14224-1447
Phone (716) 668-8226

Other identifiers 1

IdentifierTypeStateIssuer
01013670MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000402 NY Practitioner - Family Practice 9133027493 Practice locations: West Seneca, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2339 Union Rd
Suite 1
West Seneca, NY 14224-1447
Phone (716) 668-8226

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167700NYMDGeneral Practice Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCFCA/Endpoint/HCCFCA

Hospital & facility affiliations 10

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1689687857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 UNIUN ROAD",
            "address_2": "SUITE 1",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241447",
            "telephone_number": "716-668-8226",
            "fax_number": "716-668-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 UNIUN ROAD",
            "address_2": "SUITE 1",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241447",
            "telephone_number": "716-668-8226",
            "fax_number": "716-668-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLEINI",
        "first_name": "JAHANGIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "167700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01013670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.