Individual provider Active NPI

Hamid Bamshad, PA

  • Physician Assistant
  • Flushing, NY
National Provider Identifier
1710199591
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003329 Issued in NY
Practice address
6925 170TH St
Flushing, NY 11365-3309
Phone
(718) 969-7546
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003329 NY Primary

Addresses

Primary practice location

6925 170TH St
Flushing, NY 11365-3309

Mailing address

6925 170TH St
Flushing, NY 11365-3309
Phone (718) 969-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001738 NY Practitioner - Physician Assistant 7113236316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

180 Myrtle Ave
Brooklyn, NY 11201-7059
Phone (718) 650-2233

260 Ave X
Brooklyn, NY 11223-5940
Phone (718) 336-8855

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

770 Flatbush Ave
Brooklyn, NY 11226-1902
Phone (347) 627-3988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003329NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Oct 1, 2022 Accepting new patients
First Medcare, Inc. Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1710199591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 170TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653309",
            "telephone_number": "718-969-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 170TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653309",
            "telephone_number": "718-969-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMSHAD",
        "first_name": "HAMID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.