Bita Ashourzadeh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221358 Issued in NY

Practice address

90 Wildwood Rd
Great Neck, NY 11024-1223

Phone

(516) 796-4433

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

65.59 of 100Reported as individual

Quality

100

Improvement activities

0

Cost

85.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bashourzadeh307577@nyumc.direct-ci.com

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.

• Bethpage Medical Wellness PC

  • Internal Medicine Physician
  • Bethpage, NY
  • NPI 1578813838
  Medicare reassignment NPD Authorized official
• Queens Long Island Medical Group, P.C.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891732038
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1790720027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WILDWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241223",
            "telephone_number": "516-610-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WILDWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241223",
            "telephone_number": "516-796-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHOURZADEH",
        "first_name": "BITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria C Artemyeff, LCSW
• Victoria Arthur, LMSW
• Deborah Asherian, LMHC
• Akhtar Ashfaq, MD
• Ida Ashley, M.D.
• Jovelyn Millan Asia-Nacar, PT,DPT
• Sigal Tzipora Askarinam
• Stanley E Asnis, MD
• Nelson R Assael, DMD
• Rita Ataviado, MD

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.