NPIMap

Individual provider Active NPI

Parviz Rafaelmehr, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1962582676
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
194557 Issued in NY
Practice address
9712 63Rd Dr
Suite 1B
Rego Park, NY 11374-2243
Phone
(718) 897-1430
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 194557 NY Primary

Addresses

Primary practice location

9712 63Rd Dr
Suite 1B
Rego Park, NY 11374-2243

Mailing address

135 Gristmill LN
Great Neck, NY 11023-1836

Other identifiers 1

IdentifierTypeStateIssuer
01506858MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000594 NY Practitioner - Internal Medicine 7012080492 Reassigns benefits to 1 organization
Practice locations: Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Canterbury Rd
Suite A7
Great Neck, NY 11021-2651
Phone (516) 829-3003

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194557NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nabat Medical PC Internal Medicine CurrentSince Apr 4, 2009 Accepting new patients
Maryam Aghalar Physical Medicine and Rehabilitation PC PastSince May 1, 2017 Accepting new patients
North Shore University Hospital Past Accepting new patients
Care Medical Services PC Internal Medicine PastSince Apr 4, 2009 Accepting new patients

Locations

15 Canterbury Rd
Ste A7
Great Neck, NY 11021
Phone (516) 829-3003

9712 63rd Dr
Ste 1B
Rego Park, NY 11374
Phone (718) 897-1430

Networks

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

Interoperability endpoints

  • Direct secure messaging: prafaelmehr@nabatmedpc.directmedgenehr.com

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1962582676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GRISTMILL LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 63RD DR",
            "address_2": "SUITE 1B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742243",
            "telephone_number": "718-897-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAELMEHR",
        "first_name": "PARVIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "194557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01506858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.