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NPI · 1477997690 · NPPES-sourced

Samir Derisavifard MD

ActiveUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
NPI Number
1477997690
Type 1 · Individual
Contact
(817) 925-6200
License NY · 282292-01
Last Updated
Enumerated
Primary practice addressNY · 11374
9225 Queens Blvd Fl 2Rego Park, NY 11374
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About this NPIWhat this record shows.

NPI 1477997690 is registered to Samir Derisavifard MD, a Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician practising at 9225 Queens Blvd Fl 2 in Rego Park, New York. Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Samir Derisavifard MD has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Samir Derisavifard MD accepts. To confirm in-network status with your specific health plan, contact Samir Derisavifard MD directly at (817) 925-6200.

Frequently asked

Yes. NPI 1477997690 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (817) 925-6200.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Samir Derisavifard MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2088F0040X
Last updated
Enumerated
StatusActive
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