Shayan Makvandi, M.D.

Primary specialty

Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X

License

312228 Issued in NY

Practice address

93 Pennsylvania Ave
Binghamton, NY 13903-1645

Phone

(607) 762-2048

NPI assigned

Apr 30, 2018

Reactivated

Feb 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

89.14 of 100Reported as group

Quality

86.74

Promoting interoperability

99

Improvement activities

40

Cost

70.09

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1841788452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "FL 2",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PENNSYLVANIA AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031645",
            "telephone_number": "607-762-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKVANDI",
        "first_name": "SHAYAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2018-12-05",
        "reactivation_date": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NY",
            "license": "312228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yassine Mahjoubi
• Sergii P Maistruk
• Edward A. Major, M.D.
• Susan Elaine Major, LMSW
• Lyudmila Maksyutenko, RN
• Deep Mala, MD
• Catherine Elizabeth Malarkey, PT
• Mallory Marie Malick, PHARM D.
• Fahad Imtiaz Malik, M.D.
• Rabia Malik

• Pediatrics Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.