Individual provider Active NPI

Peter Faries, M.D.

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1033123252
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
196903 Issued in NY
Practice address
1190 5TH Ave
GP1 1St Floor
New York, NY 10029-6503
Phone
(212) 241-5386
Fax
(212) 534-4079
NPI assigned
Jul 27, 2006
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 196903 NY Primary

Addresses

Primary practice location

1190 5TH Ave
GP1 1St Floor
New York, NY 10029-6503

Mailing address

1425 Madison Avenue
Box 1273
New York, NY 10029-6514
Phone (212) 241-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000978 NY Practitioner - Vascular Surgery 5799763983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500

5 E 98TH St
Surgery Dept
New York, NY 10029-6501
Phone (212) 241-6591

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)26
Removal of tissue29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

1190 5th Ave
Fl 1
New York, NY 10029

1425 Madison Ave
#1273
New York, NY 10029
Phone (650) 580-3624

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1033123252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MADISON AVENUE",
            "address_2": "BOX 1273",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296514",
            "telephone_number": "212-241-5315",
            "fax_number": "212-426-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 5TH AVE",
            "address_2": "GP1 1ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503",
            "telephone_number": "212-241-5386",
            "fax_number": "212-534-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIES",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "196903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.