Active NPI
Irshad Amirali Sumar, MD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1861033359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 286569
- Practice address
- 681 Clarkson Ave
Brooklyn, NY 11203-2199 - Phone
- (718) 221-7700
- NPI assigned
- Oct 5, 2019
- Last updated
- Oct 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 286569 | NY | Primary |
Addresses
Primary practice location
681 Clarkson Ave
Brooklyn, NY 11203-2199
Mailing address
600 W 136TH St
New York, NY 10031-8209
Phone (443) 760-7168
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719002848 | NY | Order and Referring Only - Psychiatry | 1850837337 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286569 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nys Office of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Brooklyn, NY
- NPI 1285799700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570233600000",
"number": "1861033359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W 136TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100318209",
"telephone_number": "443-760-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032199",
"telephone_number": "718-221-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMAR",
"first_name": "IRSHAD",
"middle_name": "AMIRALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-05",
"last_updated": "2019-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "286569",
"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 Oct 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.