Active NPI
Michael Lee Knudsen, MD
- Orthopaedic Surgery Physician
- Bronxville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 292550
- Practice address
- 1 Pondfield Rd Ste 1
Bronxville, NY 10708-3706 - Phone
- (212) 305-5976
- Fax
- (212) 305-6193
- NPI assigned
- Apr 5, 2013
- Last updated
- Mar 21, 2023
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 292550 | NY | Primary |
Addresses
Primary practice location
1 Pondfield Rd Ste 1
Bronxville, NY 10708-3706
Mailing address
622 W 168TH St PH 111130
New York, NY 10032-3720
Phone (212) 305-5974
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | mlk9010@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Minnesota Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Trustees of Columbia University in the City of New York
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Orthopaedic Surgery | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Orthopaedic Surgery | Current | Accepting new patients |
| Columbia Doctors of New Jersey, P. C. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Columbia Doctors of New Jersey, P. C. | Orthopaedic Surgery | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
1 Pondfield Rd
Ste 1
Bronxville, NY 10708
Phone 9147504630 ext. 2
693 White Plains Rd
Eastchester, NY 10709
Phone (914) 787-3292
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 111130
New York, NY 10032
Phone (212) 305-0762
622 W 168th St
Ph 111102
New York, NY 10032
Phone (212) 305-5976
622 W 168th St
Ph 11
New York, NY 10032
Phone (212) 305-5976
622 W 168th St
Ph 111138
New York, NY 10032
Phone (435) 770-7098
155 White Plains Rd
Tarrytown, NY 10591
Phone (914) 332-7571
1111 Westchester Ave
White Plains, NY 10604
Phone (914) 229-5000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 7
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Orthopaedic Surgery
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ridgewood, NJ
- NPI 1144459991
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Orthopaedic Surgery
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1184202822
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- Specialist
- New York, NY
- NPI 1801074315
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Inpatient rehabilitation facility
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1093058240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST PH 111130",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-5974",
"fax_number": "212-305-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PONDFIELD RD STE 1",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107083706",
"telephone_number": "212-305-5976",
"fax_number": "212-305-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUDSEN",
"first_name": "MICHAEL",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-05",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "292550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "622 W 168th St Ph 11-1102",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323720",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "622 W 168th St Ph 11-1102",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323720",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlk9010@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "622 W 168th St Ph 11-1102",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronxville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.