Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimia Pourrezaei, DO

Individual provider Child & Adolescent Psychiatry Physician · NPI 1275975070

Dr. Kimia Pourrezaei, DO practises Psychiatry in New York, New York. Graduated from Philadelphia College of Osteopathic Medicine in 2013, 13 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 E 77th St
New York, NY 10075
Phone: (212) 434-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Park Ave Fl 7, New York, NY 10016-5815 — (646) 754-5000
  • 210 E 64th St, New York, NY 10065-7471 — (212) 434-3365

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 283366 (NY)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 283366 (NY)

Record details

NPI number1275975070
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 22, 2013
Last updated in NPPESJuly 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients11
Services billed 224 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at North Shore-Lij Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6350 clinicians in the practice; 12 are shown here.

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