Individual provider Active NPI

Yuriy Israel

  • Gastroenterology Physician
  • Forest Hills, NY
National Provider Identifier
1154563682
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
263651-1 Issued in NY
Practice address
10816 72ND Ave
Forest Hills, NY 11375-5653
Phone
(718) 261-0900
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 263651-1 NY Primary

Addresses

Primary practice location

10816 72ND Ave
Forest Hills, NY 11375-5653

Mailing address

10816 72ND Ave
Forest Hills, NY 11375-5653
Phone (718) 261-0900

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
I20161005000677 NY Practitioner - Gastroenterology 1557659646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Icahn School of Medicine at Mount Sinai, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Nutrition PCGroup PAC ID 2567530736, 3 clinicians

Practice addresses (Care Compare)

10816 72ND Ave
Suite 2
Forest Hills, NY 11375-5656
Phone (718) 261-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy136
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263651-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Male and Female Urology PLLC Past Accepting new patients
Safe Anesthesia PLLC PastSince Aug 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yisrael@1538.mdlanddirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1154563682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755653",
            "telephone_number": "718-261-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 72ND AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755653",
            "telephone_number": "718-261-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "YURIY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "263651-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.