Individual provider Active NPI

Jonathan Khedoori Kazam, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1811148604
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
242277 Issued in NY
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

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110602000415 NY Practitioner - Diagnostic Radiology 0244417103 Reassigns benefits to 5 organizations
I20211025002615 FL Practitioner - Diagnostic Radiology 0244417103 Reassigns benefits to 2 organizations

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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Ohri LLCGroup PAC ID 4981912169, 130 clinicians

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 Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
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

LicenseStateTypeSpecialty
242277NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Cornell Imaging at New York Presbyterian Diagnostic Radiology CurrentSince Oct 20, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 15, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology CurrentSince Oct 1, 2014 Accepting new patients
Ohri, LLC CurrentSince Jun 2, 2022 Accepting new patients
Columbiadoctors/Newyork-Presbyterianimaging CurrentSince Oct 1, 2017 Accepting new patients
Ohri, LLC CurrentSince Jun 2, 2022 Accepting new patients
Kings Physician Services, PC CurrentSince May 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Weill Medical College of Cornell Diagnostic Radiology CurrentSince Oct 20, 2018 Accepting new patients
Kings Physician Services, PC Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 20, 2018 Accepting new patients
Weill Cornell Medical Imaging Diagnostic Radiology CurrentSince Oct 20, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 15, 2021 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

  • Direct secure messaging: jkazam299216@orlandohealth.medalliesdirect.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: 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.

View all 15

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.