ANIS DIZDAREVIC M.D. NPI 1093814261

NPI Information

  • NPI: 1093814261
  • Provider Name: ANIS DIZDAREVIC, M.D.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 622 W 168TH ST
    NEW YORK, NY
    ZIP 10032
  • Phone: (212) 305-9878

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NPI Details

Anis Dizdarevic, M.D. is a pain medicine anesthesiology in New York, NY with 23 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Anis Dizdarevic, M.D. NPI is 1093814261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

622 W 168TH ST
NEW YORK, NY
ZIP 10032-720
Phone: (212) 305-9878
Fax: (212) 305-8980

The NPI 1093814261 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure for total knee joint replacement (HCPCS:01402)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Anesthesia for total hip replacement (HCPCS:01214)
  • Anesthesia for open or endoscopic total shoulder joint replacement (HCPCS:01638)
  • Anesthesia for other procedure on top of arm bone and shoulder joint (HCPCS:01630)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 6/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology230271MASSACHUSETTSNo
2207L00000XAnesthesiology261268NEW YORKNo
3207LP2900XAnesthesiologyPain Medicine261268NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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