Mahira Tanovic, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

230867 Issued in NY

Practice address

2500 Marcus Avenue
Suite, 103
Lake Success, NY 11042-1018

Phone

(516) 354-1330

Fax

(516) 775-5953

NPI assigned

Nov 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Plastic and Reconstructive Surgery

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
• Plainview Hospital Hospital, Plainview, NY, CCN 330331

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: mtanovic307962@nyumc.direct-ci.com
• Direct secure messaging: mtanovic68077@northwell.direct-ci.com

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.

• Advanced Plastic Surgery of Northshore, P.C.

  • Specialist
  • Lake Success, NY
  • NPI 1114114105
  Medicare reassignment Authorized official
• Nassau Health Care Corporation

  dba Nassau Department of Psychiatry and Psychology, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1396760989
  NPD
• Nassau Health Care Corporation

  dba NUMC Department of Family Medicine, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• Tansar Mir M.D.,P.C.

  • Plastic Surgery Physician
  • New Hyde Park, NY
  • NPI 1649568601
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Plainview Hospital

  • General Acute Care Hospital
  • Plainview, NY
  • NPI 1083621130
  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942389317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVENUE",
            "address_2": "SUITE, 103",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-354-1330",
            "fax_number": "516-775-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVENUE",
            "address_2": "SUITE, 103",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-354-1330",
            "fax_number": "516-775-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOVIC",
        "first_name": "MAHIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "230867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "230867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas M Sodeman, MD
• Mark F Sommer, DDS
• Richard Stark, MD
• Heather Sulzbach
• Susan Ramdhaney MD PC
• Yalissa Taveras, NURSE PRACTITIONER
• Linda Tepper, MD
• Harold Thies, MD
• Joel Douglas Thomas, CNIM
• Lynne Ann Traube, ANP, BC

• Plastic Surgery Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.