Individual provider Active NPI

Payam Hakimian, MD

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1689799413
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
239013 Issued in NY
Practice address
745 64TH St Ste 4
Brooklyn, NY 11220-4753
Phone
(718) 283-8655
Fax
(718) 635-7424
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 239013 NY Primary

Addresses

Primary practice location

745 64TH St Ste 4
Brooklyn, NY 11220-4753

Mailing address

745 64TH St Ste 4
Brooklyn, NY 11220-4753
Phone (718) 283-8655

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
I20120927000132 NY Practitioner - Urology 6204085715 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians
Maimonides Urology FPPGroup PAC ID 3870766686, 17 clinicians

Practice addresses (Care Compare)

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000

745 64TH St
Brooklyn, NY 11220-4745
Phone (718) 765-2560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Aug 1, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Maimonides Urology FPP Urology CurrentSince May 24, 2017 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2020 Accepting new patients
TJH Medical Services, P.C. Urology CurrentSince Aug 1, 2013 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2015 Accepting new patients
Millennium Urology PLLC Urology CurrentSince Jul 27, 2012 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Aug 1, 2016 Accepting new patients
Jamaica Hospital Past Accepting new patients
Suny Downstate Medical Center PastSince Sep 12, 2017 Accepting new patients

Locations

953 49th St
Brooklyn, NY 11219
Phone (718) 283-8225

745 64th St
Ste 4
Brooklyn, NY 11220
Phone (718) 283-6903

745 64th St
Brooklyn, NY 11220
Phone (718) 765-2570

2316 Nostrand Ave
Brooklyn, NY 11210
Phone (718) 209-3333

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

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

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

15702 Crossbay Blvd
Jamaica, NY 11414
Phone (718) 323-3591

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

Networks

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

Interoperability endpoints

  • Direct secure messaging: payamhakimian@mai.allscriptsdirect.net
  • Direct secure messaging: payam.hakimian.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: payamhakimian@whmc.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1689799413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 64TH ST STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204753",
            "telephone_number": "718-283-8655",
            "fax_number": "718-635-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 64TH ST STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204753",
            "telephone_number": "718-283-8655",
            "fax_number": "718-635-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMIAN",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "239013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.