Individual provider Active NPI

Esra Nimet Bayram-Fidan, MD

  • Student in an Organized Health Care Education/Training Program
  • Riverhead, NY
National Provider Identifier
1912587429
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone
(631) 727-1600
NPI assigned
Apr 9, 2021
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

1300 Roanoke Ave
Riverhead, NY 11901-2031

Mailing address

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 727-1600

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
I20240911003154 NY Practitioner - Family Practice 4587104906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Health Care Long IslandGroup PAC ID 5991970535, 24 clinicians

Practice addresses (Care Compare)

619 Fulton Ave
Hempstead, NY 11550-4553
Phone (516) 572-1300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince Oct 1, 2025 Accepting new patients
CHS Physician Partners, P.C CurrentSince Aug 14, 2024 Accepting new patients
Harmony Health Care Long Island CurrentSince Oct 1, 2025 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Elmont Community Health Center Past Accepting new patients

Locations

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

619 Fulton Ave
Hempstead, NY 11550
Phone (516) 571-1300

131 Merrick Ave
Merrick, NY 11566
Phone (516) 378-0119

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Interoperability endpoints

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1912587429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012031",
            "telephone_number": "631-727-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012031",
            "telephone_number": "631-727-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYRAM-FIDAN",
        "first_name": "ESRA",
        "middle_name": "NIMET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.