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

Anis Dizdarevic, MD

Individual provider Anesthesiology Physician · NPI 1093814261

Anis Dizdarevic, MD is a Pain Management in New York, New York. Graduated from Harvard Medical School in 2003, 23 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
23
Trained at
Harvard Medical School
Licensed in
MA, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-9878
Fax: (212) 305-8980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 261268 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 230271 (MA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 261268 (NY)

Record details

NPI number1093814261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJune 9, 2011

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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