ALI AHMADIZADEH MD
NPI 1376598805
Otolaryngology in Plainview, NY

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
875 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 931-5552 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, Jun 11, 2020, Mar 26, 2020 and 1 more (4 updates tracked since 2020).

About Ali Ahmadizadeh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI AHMADIZADEH MD (NPI 1376598805) is an individual otolaryngology provider in Plainview, New York, licensed in New York (254098) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1376598805
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameALI AHMADIZADEHCredential: MD
Location Address875 OLD COUNTRY RDPlainview, NY 11803-4942
Mailing Address875 Old Country RdPlainview, NY 11803-4942 · (516) 931-5552
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 30, 20214 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1376598805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 254098
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 254098 (NY)
875 OLD COUNTRY RD, Plainview, NY 11803

Secondary Practice Location 1

Location 12475 Saint Raymonds AveBronx, NY 10461-3124 · Phone (718) 430-7300

Other Identifiers 1

Medicaid03239012NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ali Ahmadizadeh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941294904
PECOS Enrollment IDI20101203000913
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
436 services308 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
314 services240 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
192 services192 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
117 services99 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
76 services75 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
53 services50 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
875 OLD COUNTRY RD, SUITE LL151
PLAINVIEW, NY 11803
Audiologist
875 OLD COUNTRY RD, SUITE 200
PLAINVIEW, NY 11803
Dermatology (MOHS-Micrographic Surgery)
875 OLD COUNTRY RD, SUITE 300
PLAINVIEW, NY 11803
Internal Medicine
875 OLD COUNTRY RD, SUITE 102
PLAINVIEW, NY 11803
Specialist
875 OLD COUNTRY RD, SUITE 102
PLAINVIEW, NY 11803
Anesthesiology (Pain Medicine)
875 OLD COUNTRY RD, SUITE LL151
PLAINVIEW, NY 11803
Anesthesiology
875 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nurse Practitioner
875 OLD COUNTRY RD, SUITE LL151
PLAINVIEW, NY 11803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Ahmadizadeh's NPI number?

The NPI number for Ali Ahmadizadeh is 1376598805. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Ali Ahmadizadeh located?

Ali Ahmadizadeh practices at 875 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 931-5552.

What is Ali Ahmadizadeh's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ali Ahmadizadeh enrolled in Medicare?

Yes. Ali Ahmadizadeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ali Ahmadizadeh affiliated with any hospitals?

According to CMS data, Ali Ahmadizadeh is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Ali Ahmadizadeh was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.