DR. KEVIN TEHRANI M.D. NPI 1346332301

NPI Information

  • NPI: 1346332301
  • Provider Name: DR. KEVIN TEHRANI, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 560 NORTHERN BLVD
    GREAT NECK
    GREAT NECK, NY
    ZIP 11021
  • Phone: (516) 498-9790

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NPI Details

DR. Kevin Tehrani, M.D. is a plastic and reconstructive surgery surgery in Great Neck, NY with 30 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Kevin Tehrani, M.D. NPI is 1346332301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1996

The provider's business location address is:

560 NORTHERN BLVD
GREAT NECK
GREAT NECK, NY
ZIP 11021-100
Phone: (516) 498-9790
Fax: (516) 498-9796

The NPI 1346332301 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.

  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/26/2013.

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
1174400000XSpecialist214939NEW YORKNo
2208200000XPlastic Surgery214939NEW YORKNo
32086S0122XSurgeryPlastic and Reconstructive Surgery214939NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102463385MEDICAIDNEW YORK
21467F1MEDICARE PINNEW YORK
3214939OTHERNEW YORKLISENCE NUMBER
4P2995192OTHERNEW YORKOXFORD PROVIDER ID
5H99994MEDICARE UPINNEW YORK
6N84003OTHERNEW YORKACS HEAT NET PROVIDER ID

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

NPI Synchronization or Removal

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