Hengameh Ardalan, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

232399 Issued in NY

Practice address

5755 Hewlett St
Little Neck, NY 11362-2230

Phone

(718) 576-1999

Fax

(718) 423-2511

NPI assigned

Jun 24, 2006

Last updated

May 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Hengameh Ardalan Former name

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Li Queens Medical Care PLLCGroup PAC ID 2961630363, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJGCDA

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.

• Li Queens Medical Care PLLC

  • Anesthesiology Physician
  • New Hyde Park, NY
  • NPI 1043556590
  Medicare reassignment Care Compare group NPD
• Pain Management Medical Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Fresh Meadows, NY
  • NPI 1649560921
  Medicare reassignment Authorized official
• Gastrointestinal Care of Long Island PLLC

  dba Allied Digestive Health Medical Group of New York

  • Gastroenterology Physician
  • Massapequa, NY
  • NPI 1265571863
  Medicare reassignment NPD
• Meadowbrook Medical Associates

  • Anesthesiology Physician
  • Westbury, NY
  • NPI 1114187986
  Medicare reassignment NPD
• Merrick Medical Care PLLC

  • Ambulatory Surgical Clinic/Center
  • Merrick, NY
  • NPI 1821399981
  Medicare reassignment NPD
• North Shore Digestive Medicine PC

  • Gastroenterology Physician
  • Smithtown, NY
  • NPI 1407114960
  Medicare reassignment NPD
• South Island Gastroenterology Associates PC

  • Gastroenterology Physician
  • Lawrence, NY
  • NPI 1043628282
  Medicare reassignment NPD
• Asadur Miah Physician PC

  • Gastroenterology Physician
  • New Hyde Park, NY
  • NPI 1144779620
  NPD (past)
• Office Based Anesthesia LLC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1407947617
  NPD (past)
• Professional Anesthesiologists of Greater New York PC

  • Pain Medicine (Anesthesiology) Physician
  • White Plains, NY
  • NPI 1629170170
  NPD (past)
• University Group Medical Associates, P.C

  dba Coney Island Medical Group

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368921600000",
    "number": "1861428526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 HEWLETT ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622230",
            "telephone_number": "718-576-1999",
            "fax_number": "718-423-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 HEWLETT ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622230",
            "telephone_number": "718-576-1999",
            "fax_number": "718-423-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDALAN",
        "first_name": "HENGAMEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "232399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02568394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENGAMEH",
            "last_name": "ARDALAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sari Altmark
• Maria Andreatos, LMHC
• Mary Beth Andrews, PHD
• Maryam Ansari, NP
• Elizabeth Antezana, MS SP ED.
• Assisted Development & Growth LLC
• Avgerinos Chiropractic, P.C.
• Avinya PT PC
• Bak Chiropractic P.C.
• Barbara Eleanor Bartley-Baldwin, LMT

• Pain Medicine (Anesthesiology) Physician in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; 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.
• 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.