Active NPI
Dvir Koenigstein, MD
- Retina Specialist (Ophthalmology) Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 315194
- Practice address
- 1650 Grand Concourse
Eye Clinic, Ground Floor
Bronx, NY 10457-7606 - Phone
- (718) 960-2020
- Fax
- (718) 960-2045
- NPI assigned
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 315194 | NY | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 315194 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Eye Clinic, Ground Floor
Bronx, NY 10457-7606
Mailing address
401 E 80TH St Apt 7G
New York, NY 10075-0685
Phone (347) 577-3760
Other practice location 1
630 W 168th St
New York, NY 10032-3725
Phone (646) 876-6734
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1276 Fulton Ave
Bronx, NY 10456-3402
1650 Grand Concourse
Bronx, NY 10457-7606
4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315194 | NY | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Ophthalmology | Current | Accepting new patients |
| SBH Physicians, PC | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- dkoenigstein18908@sbhny.direct-ci.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740595917
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1548310758
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1417027558
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1194316869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 80TH ST APT 7G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750685",
"telephone_number": "347-577-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "EYE CLINIC, GROUND FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-960-2020",
"fax_number": "718-960-2045"
}
],
"practiceLocations": [
{
"address_1": "630 W 168th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323725",
"country_code": "US",
"telephone_number": "646-876-6734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOENIGSTEIN",
"first_name": "DVIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2022-12-12",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "315194",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NY",
"license": "315194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.