Individual provider Active NPI

Brandon Daniel Kamrava

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1700345592
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
327098 Issued in NY
Practice address
110 E 60TH St RM 908
New York, NY 10022-1730
Phone
(212) 223-8300
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 327098 NY Primary

Addresses

Primary practice location

110 E 60TH St RM 908
New York, NY 10022-1730

Mailing address

635 W 42ND St Apt 45E
New York, NY 10036-1939
Phone (818) 429-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240711003462 NY Practitioner - Otolaryngology 3678018850 Reassigns benefits to 5 organizations
I20250801000108 CA Practitioner - Otolaryngology 3678018850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327098NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Dec 5, 2024 Accepting new patients
County of Santa Clara CurrentSince Jun 26, 2025 Accepting new patients
TJH Medical Services, P.C. Otolaryngology CurrentSince Jun 1, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Jamaica Hospital CurrentSince Jun 1, 2024 Accepting new patients
Jamaica Hospital CurrentSince Jun 1, 2024 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Sep 5, 2024 Accepting new patients
County of Santa Clara Otolaryngology CurrentSince Jun 26, 2025 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
County of Santa Clara Otolaryngology Current Accepting new patients
County of Santa Clara Current Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology PastSince Jul 7, 2024 Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

750 S Bascom Ave
#1112
San Jose, CA 95128

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

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

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: bkamrava4588713@nychhc.direct-ci.com
  • Direct secure messaging: bkamrava235320@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1700345592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W 42ND ST APT 45E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361939",
            "telephone_number": "818-429-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221730",
            "telephone_number": "212-223-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAVA",
        "first_name": "BRANDON",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "327098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.