DR. MITRA REZVANI M.D.
NPI 1518950385
Internal Medicine in New York, NY

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
515 AUDUBON AVENUE, ISABELLA GERIATRIC CENTER, NEW YORK, NY 10040(212) 342-9495 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mitra Rezvani M.d. NPPES

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

DR. MITRA REZVANI M.D. (NPI 1518950385) is an individual internal medicine provider in New York, New York, licensed in New York (002066) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Westchester Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1518950385
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MITRA REZVANICredential: M.D.
Location Address515 AUDUBON AVENUE, ISABELLA GERIATRIC CENTERNew York, NY 10040-3403
Mailing Address64 Birch RdBriarcliff Manor, NY 10510 · (917) 873-7995 · Fax (917) 873-7995
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 26, 2005
Last NPPES UpdateAugust 24, 2016
✔ NPI 1518950385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 002066
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
515 AUDUBON AVENUE, New York, NY 10040

Other Identifiers 3

Medicare ID-Type Unspecified219AJ1NY
Medicare UPINI03382NY
Medicaid02579913NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mitra Rezvani M.d. 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 ID5890786784
PECOS Enrollment IDI20040519001589
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mitra Rezvani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Internal Medicine
480 BEDFORD RD
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
204 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services41 patients

Hospital Affiliations CMS Care Compare

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

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10040 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%42 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mitra Rezvani's NPI number?

The NPI number for Mitra Rezvani is 1518950385. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Mitra Rezvani located?

Mitra Rezvani practices at 515 Audubon Avenue Isabella Geriatric Center, New York, NY 10040. The listed phone number is (212) 342-9495.

What is Mitra Rezvani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mitra Rezvani enrolled in Medicare?

Yes. Mitra Rezvani 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.

Which organizations bill Medicare for Mitra Rezvani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitra Rezvani reassigns Medicare benefits to 3 organizations: North Shore-Lij Medical PC (Great Neck, NY), Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and Northern Westchester Hospital Association (Chappaqua, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitra Rezvani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mitra Rezvani affiliated with any hospitals?

According to CMS data, Mitra Rezvani is affiliated with Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Mitra Rezvani was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.