Active NPI
Jonathan Khedoori Kazam, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 242277
- Practice address
- 506 6TH St
Brooklyn, NY 11215 - Phone
- (718) 780-5863
- NPI assigned
- Oct 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 242277 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 242277 | NY | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215
Mailing address
134 Hudson Ave
Tenafly, NJ 07670-1006
Phone (212) 717-0448
Other practice location 1
333A East 29th Street
New York, NY 10016
Phone (212) 263-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287
398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355
Hospital & facility affiliations
- Orlando Health
- Orlando Health-Health Central Hospital
- Orlando Health Sebastian River Hospital
- Orlando Health St Cloud Hospital
- Orlando Health Melbourne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242277 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Cornell Imaging at New York Presbyterian | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| Columbiadoctors/Newyork-Presbyterianimaging | Current | Accepting new patients | |
| Ohri, LLC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Weill Medical College of Cornell | Diagnostic Radiology | Current | Accepting new patients |
| Kings Physician Services, PC | Diagnostic Radiology | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Cornell Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
1285 Orange Ave
Winter Park, FL 32789
Phone (407) 647-2287
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
520 E 70th St
New York, NY 10021
Phone (212) 746-0838
51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Freedom Health HMO Network
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Optimum HealthCare HMO Network
Interoperability endpoints
- jkazam299216@orlandohealth.medalliesdirect.net
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 15
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.
-
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Specialist
- New York, NY
- NPI 1902345986
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1467560854
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1447430152
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1538109269
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
-
- Body Imaging Physician
- New York, NY
- NPI 1417134792
Diagnostic Radiology
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1083570261
-
- Radiology Clinic/Center
- Oviedo, FL
- NPI 1184480196
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1811148604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 HUDSON AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701006",
"telephone_number": "212-717-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-780-5863"
}
],
"practiceLocations": [
{
"address_1": "333A East 29th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10016",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZAM",
"first_name": "JONATHAN",
"middle_name": "KHEDOORI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "242277",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "242277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.