Individual provider Active NPI

Michael Stephen Chevinsky, M.D.

  • Urology Physician
  • Bethpage, NY
National Provider Identifier
1205217122
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
326010 Issued in NY
Practice address
480 Hicksville Rd
Bethpage, NY 11714-3415
Phone
(516) 796-2222
Fax
(516) 796-2303
NPI assigned
Jun 16, 2015
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 326010 NY Primary
Urology Physician 208800000X A166017 CA

Addresses

Primary practice location

480 Hicksville Rd
Bethpage, NY 11714-3415

Mailing address

480 Hicksville Rd
Bethpage, NY 11714-3415
Phone (516) 796-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200508002208 CA Practitioner - Urology 0345554275 Reassigns benefits to 1 organization
I20231213003723 NY Practitioner - Urology 0345554275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

480 Hicksville Rd
Bethpage, NY 11714-3415
Phone (516) 796-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166017CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 1, 2024 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2020 Accepting new patients
Erik Pasin MD Inc Urology CurrentSince Sep 1, 2021 Accepting new patients
Usc Care Medical Group, Inc Urology CurrentSince Jun 1, 2020 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

24321 Avenida de la Carlota
Ste H7
Laguna Hills, CA 92653
Phone (949) 768-6711

24953 Paseo de Valencia
Ste 15B
Laguna Hills, CA 92653
Phone (949) 206-0360

1516 San Pablo St
Fl 5
Los Angeles, CA 90033
Phone (323) 276-3707

1518 San Pablo St
Ste 3500
Los Angeles, CA 90033

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 461-2438

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

1 Hollow Ln
Ste 206
New Hyde Park, NY 11042
Phone (516) 931-0041

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-2300

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mchevinsky697759@direct.memorialcare.org
  • Direct secure messaging: michaelchevinsky@imppllc.allscriptsdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1205217122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143415",
            "telephone_number": "516-796-2222",
            "fax_number": "516-796-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143415",
            "telephone_number": "516-796-2222",
            "fax_number": "516-796-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVINSKY",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "326010",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A166017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.