Michelle Beth Listhaus, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

196108 Issued in NY

Practice address

990 Stewart Ave
Suite 100
Garden City, NY 11530-4822

Phone

(516) 222-4294

Fax

(516) 222-4880

NPI assigned

Mar 9, 2006

Sex

Female

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

Merit-based Incentive Payment System (MIPS)

Final score

81.08 of 100Reported as group

Quality

62.84

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Diagnostic Radiology Physician
  • Oceanside, NY
  • NPI 1477177400
  Medicare reassignment NPD
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Diagnostic Radiology Physician
  • Rockville Centre, NY
  • NPI 1144844317
  NPD
• Advanced Radiological Imaging-Astoria PC

  • Diagnostic Radiology Physician
  • Astoria, NY
  • NPI 1366490104
  NPD (past)
• Complete Women'S Imaging, PC

  • Body Imaging Physician
  • Garden City, NY
  • NPI 1649332107
  NPD (past)
• Park West Radiology, PC

  • Diagnostic Ultrasound Physician
  • New York, NY
  • NPI 1003855404

  Diagnostic Radiology

  NPD (past)
• Radiology Consulting of Long Island PLLC

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1568402410
  NPD (past)
• St Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1245318609
  NPD (past)
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1174591804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-4294",
            "fax_number": "516-222-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-4294",
            "fax_number": "516-222-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTHAUS",
        "first_name": "MICHELLE",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "196108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01506385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Link
• Rosanne C Lipera, R.PH.
• Alexandra Christine Lipppens, M.S. ED
• Michelle Lipsky, PA-C
• Amira Lisle, DPT
• Kimberly Ann Liu, NBC-HWC
• Leanne Lixfield
• Dominique C Lizzio-la Bella, DDS
• LLB Psychology
• Jennifer Lynn Lobodzic, PT, DPT

• Diagnostic Radiology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.