SAMIR DERISAVIFARD MD – NPI #1477997690
Urology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Health Care Provider Taxonomy Code for Urology

SAMIR DERISAVIFARD is an urologist located in REGO PARK, NY. NPPES has assigned the NPI number 1477997690 to SAMIR DERISAVIFARD on April 18, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2088F0040X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was last updated on Jun 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMIR DERISAVIFARD below.

NPI Profile for
SAMIR DERISAVIFARD

NPI Number
1477997690
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMIR DERISAVIFARD
Credentials
MD
Primary location
9225 QUEENS BLVD FL 2
REGO PARK, NY 11374
Phone: (817) 925-6200 Fax:
3 Other location(s):
9500 Euclid Ave
Cleveland, OH 44195-7201
Phone: (216) 445-4096
811 W Interstate 20 Ste 114
Arlington, TX 76017-5871
Phone: (817) 784-8268
Fax: (817) 804-8178
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (214) 648-3111
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2088F0040X
- Urology / Female Pelvic Medicine and Reconstructive Surgery (Primary)		 NY 282292-01
208800000X
- Urology		 TX S5157

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMIR DERISAVIFARD is affiliated with the following medical group(s):
  • HOSPITAL
    • LONG ISLAND JEWISH MEDICAL CENTER
      270 - 05 76TH AVENUE
      NEW HYDE PARK, NY 11040
    • NORTH SHORE UNIVERSITY HOSPITAL
      300 COMMUNITY DRIVE
      MANHASSET, NY 11030

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.