Active NPI
Michael Anthony Pisacano, MD
- Ophthalmology Physician
- Bronx, NY
National Provider Identifier
1194792887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 230158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3363899 | Other | AETNA | |
| 793937 | Other | MVP | |
| 0498382 | Other | GHI | |
| 02473687 | Medicaid | NY | |
| 3058260 | Other | CIGNA | |
| 2369528 | Other | UNITED | |
| OH3348 | Other | HEALTHNET | |
| 010793879 | Other | POMCO | |
| 194023P | Other | HIP | |
| 459A81 | Other | BC BS | |
| P3093896 | Other | OXFORD |
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 92.31
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 84.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230158 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park South Medical PLLC | Current | Accepting new patients | |
| Michael a Pisacano MD PC | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1740488451
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1427252626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.