Stefan Kieserman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

186940 Issued in NY

Practice address

61 E 86TH St
New York, NY 10028-1068

Phone

(212) 717-8008

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Otolaryngology

Education

Albert Einstein College of Medicine of Yeshiva University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellevue Hospital Center Hospital, New York, NY, CCN 330204

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: skieserman677732@nychhc.direct-ci.com

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.

• Floral Park Medical PC

  • Internal Medicine Physician
  • Floral Park, NY
  • NPI 1023147378
  NPD (past)
• Naeem Chaudhry MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Elmhurst, NY
  • NPI 1174939516
  NPD (past)

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

• New York City Health and Hospitals Corporation

  dba Bellevue Hospital Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1073535027
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154395234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281068",
            "telephone_number": "212-717-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281068",
            "telephone_number": "212-717-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESERMAN",
        "first_name": "STEFAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "186940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01620924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Christine Kiersz, FNP
• Magdalena Lubach Kierzkowski
• Constanza Kiesel
• Katharine Louise Kiesel, LCSW
• Karen R Kieserman, M.D.
• Stephen Moseley Kiesling, LCSW-R
• Nicole Kiess, DO
• Elizabeth Lauren Kietz, PA-C
• Vladimir Kievsky
• Azra Kific, FNP-C

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.