Active NPI
Yakov Niyazov, MD
- Psychiatry Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME161790
- Practice address
- 7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708 - Phone
- (954) 561-6222
- Fax
- (954) 990-7650
- NPI assigned
- Apr 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | ME161790 | FL | Primary |
Addresses
Primary practice location
7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708
Mailing address
7261 Sheridan St Ste 340
Hollywood, FL 33024-2726
Phone (954) 561-6222
Other practice location 1
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (305) 674-2310
Other practice location 2
7369 Sheridan St Ste 101
Hollywood, FL 33024-2776
Phone (954) 561-6222
Other practice location 3
7200 Camino Real Ste 201
Boca Raton, FL 33433-5511
Phone (561) 674-0885
Other practice location 4
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 33334-4400
Phone (954) 561-6222
Other practice location 5
5901 SW 74th St Ste 408
South Miami, FL 33143-5164
Phone (305) 735-3555
Other practice location 6
7369 Sheridan St Ste 201
Hollywood, FL 33024-2776
Phone (954) 561-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118822200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
16830 SW 49TH CT
Miramar, FL 33027-4907
Hospital & facility affiliations
- Broward Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161790 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventre Medical Associates LLC | Psychiatry | Current | Accepting new patients |
| Ventre Medical Associates LLC | Psychiatry | Past | Accepting new patients |
| Ventre Medical Associates, LLC | Psychiatry | Past | Accepting new patients |
Locations
7261 Sheridan St
Ste 340
Hollywood, FL 33024
7369 Sheridan St
Ste 201
Hollywood, FL 33024
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Hollywood, FL
- NPI 1639985138
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1427713338
-
- Psychiatry Physician
- South Miami, FL
- NPI 1558038927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1992324420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 SHERIDAN ST STE 340",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242726",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 SHERIDAN ST STE 100B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242708",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650"
}
],
"practiceLocations": [
{
"address_1": "4300 Alton Rd",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331402948",
"country_code": "US",
"telephone_number": "305-674-2310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7369 Sheridan St Ste 101",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242776",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7200 Camino Real Ste 201",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334335511",
"country_code": "US",
"telephone_number": "561-674-0885",
"fax_number": "561-674-0856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 E Oakland Park Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Oakland Park",
"state": "FL",
"postal_code": "333344400",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5901 SW 74th St Ste 408",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331435164",
"country_code": "US",
"telephone_number": "305-735-3555",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7369 Sheridan St Ste 201",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330242776",
"country_code": "US",
"telephone_number": "954-561-6222",
"fax_number": "954-990-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIYAZOV",
"first_name": "YAKOV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-14",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME161790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118822200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.