Organization Active NPI

Mikram Jafri MD PC

  • Internal Medicine Physician
  • Troy, NY
National Provider Identifier
1831800747
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIKRAM JAFRI MD PC
Practice address
100 New Turnpike Rd
Troy, NY 12182-1412
Phone
(518) 235-1410
Fax
(518) 235-1632
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Dr. Mikram Jafri, MDNPI 1245518463
Title
President
Phone
(347) 771-6424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 New Turnpike Rd
Troy, NY 12182-1412

Mailing address

338 Harris Hill Rd Ste 207
Williamsville, NY 14221-7470
Phone (716) 634-4798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214001494 NY Part B Supplier - Clinic/Group Practice 1052783396 Receives reassigned benefits from 19 practitioners
Practice locations: Schenectady, NY; Waterville, NY; Troy, NY; Syracuse, NY; Queensbury, NY; Philmont, NY; Oswego, NY; New Hartford, NY…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1831800747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD STE 207",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217470",
            "telephone_number": "716-634-4798",
            "fax_number": "716-634-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW TURNPIKE RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821412",
            "telephone_number": "518-235-1410",
            "fax_number": "518-235-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKRAM JAFRI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "MIKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-771-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.