Individual provider Active NPI

Alexander Gavlin, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1215219803
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
279676 Issued in NY
Practice address
525 E 68TH Street, Box 141, Department of Radiology
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10065-4885
Phone
(212) 746-6000
Fax
(646) 962-0122
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 279676 NY Primary

Addresses

Primary practice location

525 E 68TH Street, Box 141, Department of Radiology
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10065-4885

Mailing address

575 Lexington Ave, Suite 540
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10022-6102
Phone (212) 746-6000

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address alg9113@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20150729008383 NY Practitioner - Diagnostic Radiology 9436463825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Physician Services PCGroup PAC ID 0547579427, 643 clinicians
Weill Cornell Imaging at New York PresbyterianGroup PAC ID 6800986829, 148 clinicians
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

506 6TH St
FL 6
Brooklyn, NY 11215-3609
Phone (718) 780-5130

520 E 70TH St
New York, NY 10021-9800
Phone (212) 746-6000

525 E 68TH St Box
585 Cornell University Med College
New York, NY 10021-4870
Phone (212) 746-2059

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Quality
84.67
Promoting interoperability
100
Improvement activities
40
Cost
71.47

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279676NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC Diagnostic Radiology Current Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2015 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Weill Cornell Medical Imaging Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Kings Physician Services, PC CurrentSince Apr 28, 2021 Accepting new patients
Weill Medical College of Cornell Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients

Locations

506 6th St
Fl 6
Brooklyn, NY 11215
Phone (718) 780-5130

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

575 Lexington Ave
Rm 540
New York, NY 10022
Phone (646) 962-2543

525 E 68th St
#141
New York, NY 10065
Phone (212) 746-2059

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1215219803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE, SUITE 540",
            "address_2": "NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-746-6000",
            "fax_number": "646-962-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH STREET, BOX 141, DEPARTMENT OF RADIOLOGY",
            "address_2": "NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654885",
            "telephone_number": "212-746-6000",
            "fax_number": "646-962-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVLIN",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2023-09-12",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "279676",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "525 E 68th Street, Box 141, Department of Radiology",
            "address_2": "NewYork-Presbyterian - Weill Cornell Medical College",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100654885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alg9113@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "525 E 68th Street, Box 141, Department of Radiology",
            "address_2": "NewYork-Presbyterian - Weill Cornell Medical College",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100654885",
            "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": "525 E 68th Street, Box 141, Department of Radiology",
            "address_2": "NewYork-Presbyterian - Weill Cornell Medical College",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100654885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.