Active NPI
Dmitry V Shmerkovich, DO
- Neurology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 258729
- Practice address
- 2711 Avenue X Apt 3E
Brooklyn, NY 11235-2028 - Phone
- (646) 641-8292
- Fax
- (847) 656-2324
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 258729 | NY | Primary |
Addresses
Primary practice location
2711 Avenue X Apt 3E
Brooklyn, NY 11235-2028
Mailing address
2711 Avenue X Apt 3E
Medical Staff Office T14
Brooklyn, NY 11235-2028
Phone (646) 641-8292
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111006000136 | NY | Practitioner - Neurology | 1254503709 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Midwestern University College of Dental Medicine, Glendale, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1402 150TH St
Whitestone, NY 11357-1764
Phone (718) 353-8933
16303 Horace Harding Expy
Fresh Meadows, NY 11365-1449
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
55 Green St
Brooklyn, NY 11222-5831
Phone (646) 641-8292
5620 Main St
Flushing, NY 11355-5046
Phone (718) 670-1837
5626 Main St
Flushing, NY 11355-5046
Phone (718) 670-1185
5634 Main St
Flushing, NY 11355-5046
Phone (718) 670-2468
Hospital & facility affiliations
- South Brooklyn Health
- New York-Presbyterian/Queens
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258729 | NY | MD | Neurology Physician |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coney Island Medical Practice Plan, P.C. | General Practice | Current | Accepting new patients |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| New York Comprehensive Neurology PC | Neurology | Current | Accepting new patients |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
General Practice, NY
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1043486285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 AVENUE X APT 3E",
"address_2": "MEDICAL STAFF OFFICE T14",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352028",
"telephone_number": "646-641-8292",
"fax_number": "847-656-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 AVENUE X APT 3E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352028",
"telephone_number": "646-641-8292",
"fax_number": "847-656-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHMERKOVICH",
"first_name": "DMITRY",
"middle_name": "V",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "258729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.