Individual provider Active NPI

Reza S Naghavi, M.D.

  • Internal Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1841231545
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207203 Issued in NY
Practice address
178 Sunrise Hwy
Rockville Centre, NY 11570-4704
Phone
(516) 536-5765
Fax
(516) 536-5766
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207203 NY Primary

Addresses

Primary practice location

178 Sunrise Hwy
Rockville Centre, NY 11570-4704

Mailing address

178 Sunrise Hwy
Rockville Centre, NY 11570-4704
Phone (516) 536-5765

Other identifiers 2

IdentifierTypeStateIssuer
113465674OtherNYTAX ID
01801418MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070113000067 NY Practitioner - Internal Medicine 1052311198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
R.S. Naghavi, M.D. PLLCGroup PAC ID 1658461751, 3 clinicians
Integrated Medical Services Ny PLLCGroup PAC ID 7618202490, 2 clinicians

Practice addresses (Care Compare)

178 Sunrise Hwy
Rockville Centre, NY 11570-4704
Phone (516) 536-5765

180 Sunrise Hwy
Rockville Centre, NY 11570-4711
Phone (516) 996-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.38 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
84.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R.S. Naghavi, M.D. PLLC Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Lifeline Medical Testing PLLC Past Accepting new patients

Locations

178 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 536-5765

180 Sunrise Hwy
Rockville Ctr, NY 11570
Phone (516) 442-5783

Networks

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

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1841231545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704704",
            "telephone_number": "516-536-5765",
            "fax_number": "516-536-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704704",
            "telephone_number": "516-536-5765",
            "fax_number": "516-536-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGHAVI",
        "first_name": "REZA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "113465674",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01801418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.