Tahir Hafeez, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

222901 Issued in NY

Practice address

17627 Union Tpke
Fresh Meadows, NY 11366-1515

Phone

(347) 460-4253

NPI assigned

Dec 15, 2005

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Kidney PhysiciansGroup PAC ID 4284978115, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMS-Queens Artificial Kidney Center Dialysis facility, Jackson Heights, NY, CCN 332517
• FMS-South Queens Dialysis Center Dialysis facility, Jamaica, NY, CCN 332531
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

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

Interoperability endpoints

• Direct secure messaging: thafeez16377@direct.acumenmd.com

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.

• New York Kidney Physicians

  • Nephrology Physician
  • Jackson Heights, NY
  • NPI 1902373863
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1720064421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17627 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515",
            "telephone_number": "347-460-4253",
            "fax_number": "718-533-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17627 UNION TPKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661515",
            "telephone_number": "347-460-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 70th St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113721055",
            "country_code": "US",
            "telephone_number": "718-651-9700 x13",
            "fax_number": "718-533-0264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20619 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "11427",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20619 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "11427",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "TAHIR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "222901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02168885",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720064421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polina Gulkarov
• Reeva Gupta, PA-C
• Rom M Gupta, M.D.
• Patricia Guthrie
• Zayda Habib, PHARMD
• Jenny Hafitz, PA
• Joanna Halpert
• Hamilton Surgical Supplies LLC
• Deja M. Hamilton
• Janet Hampton

• Nephrology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.

Verify at the official NPI Registry.