Active NPI
Hamid A Mian, MD
- Internal Medicine Physician
- Poughkeepsie, NY
National Provider Identifier
1871520387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DR.0054162
- Practice address
- 115 Hooker Ave
Poughkeepsie, NY 12601-4933 - Phone
- (801) 388-6291
- NPI assigned
- Jun 28, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 201151-1 | NY | |
| Hospitalist Physician | 208M00000X | 6667067-1205 | UT | |
| Nephrology Physician | 207RN0300X | 6667067-1205 | UT | |
| Internal Medicine Physician | 207R00000X | DR.0054162 | CO | Primary |
Addresses
Primary practice location
115 Hooker Ave
Poughkeepsie, NY 12601-4933
Mailing address
115 Hooker Ave
Poughkeepsie, NY 12601-4933
Phone (801) 388-6291
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5068591 | Other | NY | AETNA PPO |
| 27N391 | Other | NY | BLUE CROSS/ BLUE SHIELD |
| 10057934 | Other | NY | CDPHP |
| 200051608 | Other | NY | MVP |
| 01797093 | Medicaid | NY | |
| 2002821 | Other | NY | AETNA HMO |
| P888216 | Other | NY | OXFORD |
Other names 1
- Hamid A Mian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20141110002503 | CO | Practitioner - Internal Medicine | 4981791845 | Practice locations: Brush, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201151-1 | NY | MD | Specialist |
| DR.0054162 | CO | MD | Internal Medicine Physician |
| 6667067-1205 | UT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gammawest Brachytherapy, LLC | Past | Accepting new patients | |
| Saint Francis Hospital / Medicine | Hospitalist | Past | Accepting new patients |
| Hamid a. Mian, MD, PC | Specialist | Past | Accepting new patients |
| Kidney & Hypertension Institute of Northern Utah LLC | Nephrology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Poughkeepsie, NY
- NPI 1396920401
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1528167442
-
- Radiation Oncology Physician
- Salt Lake City, UT
- NPI 1053451617
-
- Nephrology Physician
- Layton, UT
- NPI 1366713471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1871520387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HOOKER AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014933",
"telephone_number": "801-388-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HOOKER AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014933",
"telephone_number": "801-388-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIAN",
"first_name": "HAMID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "201151-1",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "UT",
"license": "6667067-1205",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "UT",
"license": "6667067-1205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0054162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5068591",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "27N391",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10057934",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "200051608",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01797093",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2002821",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P888216",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAMID",
"last_name": "MIAN",
"middle_name": "A",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.