Individual provider Active NPI

Ion Oltean, MD

  • Internal Medicine Physician
  • Bayside, NY
National Provider Identifier
1184729113
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218142 Issued in NY
Practice address
4402 Francis Lewis Blvd
Suite a
Bayside, NY 11361-3041
Phone
(718) 631-0500
Fax
(718) 281-1276
NPI assigned
Sep 14, 2006
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 218142 NY Primary

Addresses

Primary practice location

4402 Francis Lewis Blvd
Suite a
Bayside, NY 11361-3041

Mailing address

4402 Francis Lewis Blvd
Suite a
Bayside, NY 11361-3041
Phone (718) 631-0500

Other identifiers 1

IdentifierTypeStateIssuer
02088080MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address ioo9002@direct.nyp.org Direct

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
I20041228000459 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2163486432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upstate Geriatric Medical Services PCGroup PAC ID 6406255884, 4 clinicians

Practice addresses (Care Compare)

7915 Metropolitan Ave
Middle Village, NY 11379-2930
Phone (516) 806-2544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
88.19
Improvement activities
40
Cost
64.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218142NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 1, 2013 Accepting new patients
Upstate Geriatric Medical Services PC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 1, 2013 Accepting new patients
Ion Oltean Physician PC Internal Medicine CurrentSince Feb 23, 2010 Accepting new patients
Sapphire Center for Rehabilitation and Nursing of Central Queens, LLC Past Accepting new patients
Newburgh Operations LLC Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Yertle Operations LLC Past Accepting new patients
Sapphire Nursing at Wappingers LLC Past Accepting new patients
Goshen Operations LLC Past Accepting new patients
VJJ Holding Company, LLC Past Accepting new patients
South Shore Rehabilitation, LLC Past Accepting new patients
County of Orange Past Accepting new patients
Booth Medical Associates PC Internal Medicine Past Accepting new patients

Locations

4402 Francis Lewis Blvd
Bayside, NY 11361
Phone (718) 631-0500

4402 Francis Lewis Blvd
Ste A
Bayside, NY 11361
Phone (718) 631-0500

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 291-3700

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

5916 174th St
Fresh Meadows, NY 11365
Phone (718) 460-6765

7915 Metropolitan Ave
Middle Vlg, NY 11379
Phone (516) 806-2544

1981 Marcus Ave
Ste 2
New Hyde Park, NY 11042

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1184729113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041",
            "telephone_number": "718-631-0500",
            "fax_number": "718-281-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 FRANCIS LEWIS BLVD",
            "address_2": "SUITE A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613041",
            "telephone_number": "718-631-0500",
            "fax_number": "718-281-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTEAN",
        "first_name": "ION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02088080",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "4402 Francis Lewis Blvd",
            "address_2": "Suite A",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "4402 Francis Lewis Blvd",
            "address_2": "Suite A",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ioo9002@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "4402 Francis Lewis Blvd",
            "address_2": "Suite A",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.