Individual provider Active NPI

Hertzel K Sure, MD

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1083727762
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224296 Issued in NY
Practice address
94-25 60TH Avenue
Suite B4
Elmhurst, NY 11373
Phone
(718) 760-0797
Fax
(718) 760-5552
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 224296 NY Primary

Addresses

Primary practice location

94-25 60TH Avenue
Suite B4
Elmhurst, NY 11373

Mailing address

9425 60TH Ave Ste B-4
Elmhurst, NY 11373-5069
Phone (718) 280-9092

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
I20040412001363 NY Practitioner - Internal Medicine 9739173824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sure Care Medical P CGroup PAC ID 9537474473, 2 clinicians

Practice addresses (Care Compare)

9425 60TH Ave
Suite B 4
Elmhurst, NY 11373-5069
Phone 7182809092204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224296NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Care Medical P C Internal Medicine CurrentSince Apr 27, 2015 Accepting new patients
Sure Medical PC Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Adult Medical Care, P.C. Internal Medicine Past Accepting new patients

Locations

9425 60th Ave
Ste B4
Elmhurst, NY 11373
Phone (718) 280-9092

9425 60th Ave
Flushing, NY 11373
Phone (516) 492-5523

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

287 Northern Blvd
Ste 108
Great Neck, NY 11021
Phone (516) 418-6942

300 Community Dr
Plandome, NY 11030

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Networks

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

Organizations & group practices 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1083727762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 60TH AVE STE B-4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735069",
            "telephone_number": "718-280-9092",
            "fax_number": "914-810-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-25 60TH AVENUE",
            "address_2": "SUITE B4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-760-0797",
            "fax_number": "718-760-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURE",
        "first_name": "HERTZEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.