Dr. Omid Kohani, MD

Internal Medicine, Cardiovascular Disease in Bayside, NY. Individual provider (NPI-1).

NPI number1619136181

StatusActive

Last updated in NPPESOct 29, 2013

Details

NPI: 1619136181
Entity type: Individual (NPI-1)
Name: Dr. Omid Kohani
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 9, 2008
Last updated: Oct 29, 2013

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	238940	NY	Yes

Practice location

21012 Northern Blvd
Bayside, NY 11361-3240

Phone 718-229-3100

Mailing address

11 Drury Ln
Great Neck, NY 11023-1309

Phone 718-229-3100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Cardiovascular Disease Physician providers in Bayside, NY

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