Individual provider Active NPI

Michael Anthony Pisacano, MD

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1194792887
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
230158 Issued in NY
Practice address
2590 Frisby Ave
Bronx, NY 10461-3240
Phone
(718) 409-9400
Fax
(718) 409-9440
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 230158 NY Primary

Addresses

Primary practice location

2590 Frisby Ave
Bronx, NY 10461-3240

Mailing address

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 409-9400

Other identifiers 11

IdentifierTypeStateIssuer
3363899OtherAETNA
793937OtherMVP
0498382OtherGHI
02473687MedicaidNY
3058260OtherCIGNA
2369528OtherUNITED
OH3348OtherHEALTHNET
010793879OtherPOMCO
194023POtherHIP
459A81OtherBC BS
P3093896OtherOXFORD

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
I20040330000227 NY Practitioner - Ophthalmology 4789576059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a Pisacano MD PCGroup PAC ID 0941271720, 9 clinicians

Practice addresses (Care Compare)

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 409-9400

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
92.31
Promoting interoperability
93
Improvement activities
40
Cost
84.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230158NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park South Medical PLLC CurrentSince Jun 1, 2023 Accepting new patients
Michael a Pisacano MD PC Ophthalmology CurrentSince Jan 1, 2004 Accepting new patients

Locations

2445 Arthur Ave
Bronx, NY 10458
Phone (718) 220-3434

2590 Frisby Ave
Fl 2
Bronx, NY 10461

2590 Frisby Ave
Bronx, NY 10461
Phone (718) 239-1610

75 Linda Ave
White Plains, NY 10605
Phone (914) 681-0900

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1194792887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-409-9400",
            "fax_number": "718-409-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-409-9400",
            "fax_number": "718-409-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISACANO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "230158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3363899",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "793937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0498382",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02473687",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3058260",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2369528",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OH3348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "010793879",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "194023P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "459A81",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3093896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.