Thomas Panetta, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

137978 Issued in NY

Practice address

600 Northern Blvd
Suite 115
Great Neck, NY 11021-5206

Phone

(516) 482-8220

Fax

(516) 482-8221

NPI assigned

Dec 30, 2005

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

Vascular Surgery

Education

State University of New York Downstate Medical Center, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

99.37

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: tpanetta@prine.curemd.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.

• Prine Health Medical Group, PLLC

  • Nephrology Physician
  • Manhasset, NY
  • NPI 1144790163
  Medicare reassignment Care Compare group NPD
• Prine Health Medical Group, PLLC

  • Podiatrist
  • Hicksville, NY
  • NPI 1538868336
  NPD
• Thomas Panetta MD Vascular Surgery PLLC

  • Vascular Surgery Physician
  • Great Neck, NY
  • NPI 1760640619
  NPD
• Access Care Physicians of Ny, PC

  • Vascular & Interventional Radiology Physician
  • Staten Island, NY
  • NPI 1124047378
  NPD (past)
• American Access Care Physician PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1235104878
  NPD (past)
• Narrows MRI and Diagnostic Radiology, PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1427051689
  NPD (past)
• United Medical Surgical PC

  • Surgery Physician
  • Staten Island, NY
  • NPI 1689699225

  Vascular Surgery

  NPD (past)
• University Physicians of Brooklyn, Inc

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1104878180
  NPD (past)

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

• Mercy Medical Center

  • Psychiatric Hospital Unit
  • Rockville Centre, NY
  • NPI 1427017854
  Care Compare affiliation
• Mercy Medical Center

  • Rehabilitation Hospital Unit
  • Rockville Centre, NY
  • NPI 1598724924
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Rockville Centre, NY
  • NPI 1659330173
  Care Compare affiliation

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1184601072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 115",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215206",
            "telephone_number": "516-482-8220",
            "fax_number": "516-482-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 115",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215206",
            "telephone_number": "516-482-8220",
            "fax_number": "516-482-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27111 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401436",
            "country_code": "US",
            "telephone_number": "516-387-7463",
            "fax_number": "516-736-8299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Pettit Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117103657",
            "country_code": "US",
            "telephone_number": "516-514-0541",
            "fax_number": "516-736-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANETTA",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "137978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00799404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Palmer, PH.D.
• Kexin Pan
• John Peter Panaro III, M.S.P.T.
• Pancare Inc
• Andrew Emile Pancila Jr., CCC-SLP, CBIS
• Robert H. Panzer, DDS
• Shirley Barrie Papilsky, MD
• Alexandra Nicole Pappas, NP
• Constantinos George Pappous, D.D.S.
• Karen Wachtel Parekh, PH.D.

• Vascular Surgery Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.