Individual provider Active NPI

David L Foster, MD

  • Internal Medicine Physician
  • Valley Stream, NY
National Provider Identifier
1174679179
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217856 Issued in NY
Practice address
10 E Merrick Rd
Suite 307
Valley Stream, NY 11580-5800
Phone
(516) 825-2439
Fax
(516) 825-2463
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217856 NY Primary

Addresses

Primary practice location

10 E Merrick Rd
Suite 307
Valley Stream, NY 11580-5800

Mailing address

10 E Merrick Rd
Suite 307
Valley Stream, NY 11580-5800
Phone (516) 825-2439

Other identifiers 1

IdentifierTypeStateIssuer
02154658MedicaidNY

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
I20040224001231 NY Practitioner - Internal Medicine 3274429527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 E Merrick Rd
Suite 307
Valley Stream, NY 11580-5800
Phone (516) 829-2295

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147

Merit-based Incentive Payment System (MIPS)

Final score
26.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217856NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David L Foster MD PC Internal Medicine CurrentSince Oct 28, 2003 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

10 E Merrick Rd
Ste 307
Valley Stream, NY 11580
Phone (516) 825-2439

Networks

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

Organizations & group practices 2

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 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1174679179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MERRICK RD",
            "address_2": "SUITE 307",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805800",
            "telephone_number": "516-825-2439",
            "fax_number": "516-825-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MERRICK RD",
            "address_2": "SUITE 307",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805800",
            "telephone_number": "516-825-2439",
            "fax_number": "516-825-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02154658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.