Revekka Babayev
Individual provider Active NPI Nephrology Physician · Stamford, CT
NPI 1992022008 · NPPES record last updated Dec 18, 2015
Key facts
- NPI
- 1992022008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 54198 (CT)
- Practice address
- 30 Commerce Rd
Stamford, CT 06902-4550 - Phone
- (203) 324-7666
- Fax
- (203) 323-2541
- NPI assigned
- Apr 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Stamford Health Medical Group Inc
Practice addresses (Care Compare)
1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000
29 Hospital PLZ
Stamford, CT 06902-3602
292 Long Ridge Rd
Stamford, CT 06902-1627
4 Hospital PLZ
Suite 102
Stamford, CT 06902-3602
Phone (203) 276-2330
5 High Ridge Park
Suite 103
Stamford, CT 06905-1326
Phone (203) 276-4644
Hospital & facility affiliations
- DaVita Stamford Dialysis
- Stamford Hospital
- Greenwich Hospital Association -
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721000457 | CT | Practitioner - Nephrology | 9537472550 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Current |
Accepting new patients |
Locations
292 Long Ridge Rd
Ste 203
Stamford, CT 06902
Phone (203) 276-2435
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
30 Commerce Rd
Stamford, CT 06902
Phone (203) 324-7666
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABCIBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 54198 | CT | Yes |
Addresses
Primary practice location
30 Commerce Rd
Stamford, CT 06902-4550
Mailing address
30 Commerce Rd
Stamford, CT 06902-4550
Phone (203) 324-7666
Other names
- Revekka Niyazova
Other providers in Stamford, CT
- Yaneli Avila
- Isabelle Avridor
- Marie Ayoub
- Soukaina Akil Ayoub
- B-IX Edgehill SNF LLC
- Robert C Babkowski
- Kristina Bacco
- Constantina Bacopoulou
- Anna M. Badini
- Raymond A Baer
All providers in Stamford, CT · Nephrology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.