Diego Andres Ponieman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

236424 Issued in NY

Practice address

111 W 110TH St
New York, NY 10026-4281

Phone

(212) 865-2740

Fax

(212) 537-6414

NPI assigned

Apr 14, 2006

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JBJECD
• FHIR API: https://fhir4.healow.com/fhir/r4/JBJECD/Endpoint/JBJECD

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.

• Pathways Medical PLLC

  • Specialist
  • New York, NY
  • NPI 1285314609
  NPD Authorized official
• Doctordiego Physician PC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1841434560
  NPD (past) Authorized official
• Mount Sinai Diagnostic and Treatment Center

  • Clinic/Center
  • New York, NY
  • NPI 1669476156
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1164486353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 110TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264281",
            "telephone_number": "212-865-2740",
            "fax_number": "212-537-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 110TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264281",
            "telephone_number": "212-865-2740",
            "fax_number": "212-537-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2271 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104686905",
            "country_code": "US",
            "telephone_number": "718-733-2621",
            "fax_number": "718-733-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONIEMAN",
        "first_name": "DIEGO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02661916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Poneros, MD
• Jonathan D. Pong, DMD
• Perry Pong, MD
• Paula Pongsuwan, PHARM D
• Pudit Pongvitayapanu
• Sanjana Ponnam
• Madhavi Ponnapalli, MD
• Esha Ponnuri
• Aleksandr A Ponomarev, M.D.
• Yan G Ponomarev, DPT

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.