Active NPI
Sophia Bezirganian, MD
- Psychiatry Physician
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 167463
- Practice address
- 1003 Walnut St
Elmira, NY 14901-1007 - Phone
- (607) 732-5646
- Fax
- (607) 732-0373
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 167463 | NY | Primary |
Addresses
Primary practice location
1003 Walnut St
Elmira, NY 14901-1007
Mailing address
211 N Geneva St
Ithaca, NY 14850-4135
Phone (607) 273-7494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01400417 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical College of Pennsylvania, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1083 Waterloo Geneva Rd
Waterloo, NY 13165-1202
Phone (315) 856-8257
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Cayuga Counties Chapter Nysarc, Inc. | Current | Accepting new patients | |
| Seneca Cayuga Counties Chapter Nysarc, Inc. | Current | Accepting new patients | |
| Family & Children's Service of Ithaca Inc | Past | Accepting new patients | |
| Chemung-Schuyler Counties Chapter, Nysarc, Inc. | Past | Accepting new patients | |
| Nysarc Inc., Chemung County Chapter | Past | Accepting new patients | |
| State of New York Comptrollers Office | Past | Accepting new patients |
Locations
1521 Clark Street Rd
Auburn, NY 13021
Phone (315) 253-7331
1083 Waterloo Geneva Rd
Waterloo, NY 13165
Phone (315) 539-4049
Organizations & group practices 6
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.
-
dba Seneca Cayuga ARC
- Voluntary or Charitable Agency
- Waterloo, NY
- NPI 1497804215
-
dba Seneca Cayuga ARC
- Voluntary or Charitable Agency
- Auburn, NY
- NPI 1104970557
-
dba Arc of Chemung-Schuyler
- Developmental Disabilities Clinic/Center
- Elmira, NY
- NPI 1174146401
-
- Voluntary or Charitable Agency
- Ithaca, NY
- NPI 1124176680
-
- Developmental Disabilities Clinic/Center
- Elmira, NY
- NPI 1306901608
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Geneva, NY
- NPI 1952418352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700979572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N GENEVA ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504135",
"telephone_number": "607-273-7494",
"fax_number": "607-732-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WALNUT ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149011007",
"telephone_number": "607-732-5646",
"fax_number": "607-732-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEZIRGANIAN",
"first_name": "SOPHIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "167463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01400417",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- 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.