Individual provider Active NPI

Michael Zilles, M.D.

  • Orthopaedic Surgery Physician
  • Fishkill, NY
National Provider Identifier
1013004530
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
203112 Issued in NY
Practice address
200 Westage Business Ctr Dr Ste 115
Fishkill, NY 12524-2271
Phone
(845) 896-4178
Fax
(845) 896-4278
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 203112 NY Primary

Addresses

Primary practice location

200 Westage Business Ctr Dr Ste 115
Fishkill, NY 12524-2271

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Other identifiers 1

IdentifierTypeStateIssuer
89128YWMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC, WY, VI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20171002003195 NY Practitioner - Orthopedic Surgery 5294861761 Reassigns benefits to 1 organization
I20171116002646 SC Practitioner - Orthopedic Surgery 5294861761
I20230731003593 WY Practitioner - Orthopedic Surgery 5294861761 Reassigns benefits to 1 organization
I20250721000118 VI Practitioner - Orthopedic Surgery 5294861761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203112NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Sep 15, 2017 Accepting new patients
Riverton Physician Practices LLC Orthopaedic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Riverton Physician Practices LLC CurrentSince Aug 1, 2023 Accepting new patients
Riverton Physician Practices, LLC Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 15, 2017 Accepting new patients
Lander Valley Physician Practices, LLC Past Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 115
Fishkill, NY 12524
Phone (845) 896-4178

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1013004530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR STE 115",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242271",
            "telephone_number": "845-896-4178",
            "fax_number": "845-896-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLES",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "203112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128YW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.