Individual provider Active NPI

Parvez Mir, M.D.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1992743231
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
178351 Issued in NY
Practice address
220A Saint Nicholas Ave
Brooklyn, NY 11237-4807
Phone
(718) 417-4740
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 178351 NY Primary

Addresses

Primary practice location

220A Saint Nicholas Ave
Brooklyn, NY 11237-4807

Mailing address

220A Saint Nicholas Ave
Brooklyn, NY 11237-4807
Phone (718) 417-4740

Other identifiers 1

IdentifierTypeStateIssuer
01128110MedicaidNY

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
I20060602000189 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0941211049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178351NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Wyckoff Professional Medical Services, PC Pulmonary Disease CurrentSince Mar 1, 2015 Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

Networks

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

Interoperability endpoints

  • Direct secure messaging: parvezmir@whmc.allscriptsdirect.net

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 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1992743231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220A SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374807",
            "telephone_number": "718-417-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220A SAINT NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374807",
            "telephone_number": "718-417-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "PARVEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "178351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.