Individual provider Active NPI

Yasmin Pervez, MD

  • Internal Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1972593903
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209216-1 Issued in NY
Practice address
525 Wheatfield St
10
North Tonawanda, NY 14120-7034
Phone
(716) 692-7156
Fax
(716) 692-3388
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2092161 NY
Internal Medicine Physician 207R00000X 209216-1 NY Primary

Addresses

Primary practice location

525 Wheatfield St
10
North Tonawanda, NY 14120-7034

Mailing address

525 Wheatfield St
10
North Tonawanda, NY 14120-7034
Phone (716) 692-7156

Other identifiers 1

IdentifierTypeStateIssuer
01795500MedicaidNY

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
I20110104000230 NY Practitioner - Internal Medicine 1456549641 Receives reassigned benefits from 1 practitioner
Practice locations: North Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

525 Wheatfield St
Suite 10
North Tonawanda, NY 14120-7034
Phone (716) 692-7156

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209216-1NYMDInternal Medicine Physician
2092161NYMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: drpervez@yasminpervezmd.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Hospital & facility affiliations 7

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1972593903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WHEATFIELD ST",
            "address_2": "10",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141207034",
            "telephone_number": "716-692-7156",
            "fax_number": "716-692-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WHEATFIELD ST",
            "address_2": "10",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141207034",
            "telephone_number": "716-692-7156",
            "fax_number": "716-692-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVEZ",
        "first_name": "YASMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2092161",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209216-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01795500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.