FIROOZ REZVANI MD
NPI 1376650465
Otolaryngology in Port Jefferson, NY

Active since August 24, 2006PECOS Enrolled
640 BELLE TERRE RD, BLDG J, PORT JEFFERSON, NY 11777(631) 928-2121(631) 928-2127 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Firooz Rezvani Md NPPES

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

FIROOZ REZVANI MD (NPI 1376650465) is an individual otolaryngology provider in Port Jefferson, New York, licensed in New York (128733) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376650465
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameFIROOZ REZVANICredential: MD
Location Address640 BELLE TERRE RD, BLDG JPort Jefferson, NY 11777
Mailing Address640 Belle Terre Rd, Bldg JPort Jefferson, NY 11777 · (631) 928-2121 · Fax (631) 928-2127
Fax(631) 928-2127
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJanuary 5, 2011
NPI 1376650465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 128733
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.
640 BELLE TERRE RD, Port Jefferson, NY 11777

Other Identifiers 3

Medicare ID-Type Unspecified343761NY
Medicaid00646295NY
Medicare UPINB13476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Firooz Rezvani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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.

Other Providers at the Same Location NPPES 15

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

Surgery
640 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Dietitian, Registered
640 BELLE TERRE RD, BUILDING E
PORT JEFFERSON, NY 11777
Psychiatry & Neurology (Psychiatry)
640 BELLE TERRE RD, BLDG J3
PORT JEFFERSON, NY 11777
Massage Therapist
640 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Specialist
640 BELLE TERRE RD, BUILDING H
PORT JEFFERSON, NY 11777
Massage Therapist
640 BELLE TERRE RD, BLDG E
PORT JEFFERSON, NY 11777
Family Medicine
640 BELLE TERRE RD, BLDG F
PORT JEFFERSON, NY 11777
Specialist
640 BELLE TERRE RD, BUILDING C
PORT JEFFERSON, NY 11777

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 Firooz Rezvani's NPI number?

The NPI number for Firooz Rezvani is 1376650465. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Firooz Rezvani located?

Firooz Rezvani practices at 640 Belle Terre Rd Bldg J, Port Jefferson, NY 11777. The listed phone number is (631) 928-2121.

What is Firooz Rezvani's specialty?

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

Is Firooz Rezvani enrolled in Medicare?

Yes. Firooz Rezvani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Firooz Rezvani was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.