Individual provider Active NPI

Behrad Ziapour, MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1952939191
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
326731 Issued in NY
Practice address
412 Evergreen Ave Apt 4D
Brooklyn, NY 11221-6609
Phone
(917) 573-1104
NPI assigned
Apr 1, 2020
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 326731 NY Primary

Addresses

Primary practice location

412 Evergreen Ave Apt 4D
Brooklyn, NY 11221-6609

Mailing address

412 Evergreen Ave Apt 4D
Brooklyn, NY 11221-6609

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
I20240321002258 NY Practitioner - General Practice 4183061534 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326731NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Medical of New York, PLLC CurrentSince May 29, 2024 Accepting new patients
Integrated Wound Care New York Medical PLLC General Practice CurrentSince Feb 11, 2024 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

3457 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 535-5100

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

284 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1621

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

Organizations & group practices 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1952939191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 EVERGREEN AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 EVERGREEN AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216609",
            "telephone_number": "917-573-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAPOUR",
        "first_name": "BEHRAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "326731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.