NPIMap

Individual provider Active NPI

Anna Fieldman, M.D.

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
National Provider Identifier
1245332717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
210482-1 Issued in NY
Practice address
10721 Queens Blvd
Forest Hills, NY 11375-4451
Phone
(718) 520-0700
Fax
(718) 520-7180
NPI assigned
Sep 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 210482-1 NY Primary

Addresses

Primary practice location

10721 Queens Blvd
Forest Hills, NY 11375-4451

Mailing address

40 Turf LN
Roslyn Heights, NY 11577-2738
Phone (516) 626-3165

Other identifiers 2

IdentifierTypeStateIssuer
P1922984OtherNYOXFORD HPI
01958887MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000486 NY Practitioner - Obstetrics/Gynecology 5193752921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10721 Queens Blvd
Suite 1
Forest Hills, NY 11375-4451
Phone (718) 520-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210482-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Fieldman MD PC Obstetrics & Gynecology CurrentSince Aug 8, 2008 Accepting new patients
Blooming OB-GYN PLLC Obstetrics & Gynecology Current Accepting new patients
Newyork-Presbyterian/Queens Obstetrics & Gynecology Past Accepting new patients

Locations

10721 Queens Blvd
Forest Hills, NY 11375
Phone (718) 261-2992

10721 Queens Blvd
Ste 1
Forest Hills, NY 11375
Phone (718) 459-1493

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

Organizations & group practices 3

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 11

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245332717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TURF LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772738",
            "telephone_number": "516-626-3165",
            "fax_number": "516-626-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754451",
            "telephone_number": "718-520-0700",
            "fax_number": "718-520-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDMAN",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "210482-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HPI",
            "identifier": "P1922984",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01958887",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.