Dariusz Jarslaw Listopadzki, M.D.
Individual provider Active NPI Internal Medicine Physician · Painted Post, NY
NPI 1265447304 · NPPES record last updated Jun 13, 2016
Key facts
- NPI
- 1265447304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 234124 (NY)
- Practice address
- 418 S Hamilton St
Suite 109
Painted Post, NY 14870-9705 - Phone
- (607) 936-2089
- Fax
- (607) 936-8176
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Arnot Ogden Medical Center
Arnot Medical Services PLLC
Ira Davenport Memorial Hospital, Inc.
Practice addresses (Care Compare)
200 Madison Ave
FL 3
Elmira, NY 14901-3219
Phone (607) 734-1581
418 S Hamilton St
Suite 109
Painted Post, NY 14870-9705
Phone (607) 936-2089
7571 State Route 54
Bath, NY 14810-9504
Phone (607) 776-8500
Hospital & facility affiliations
- Centerwell Home Health
- Vna of Western Ny Chha
- Carefirst / Southern Tier Hospice and Palliative
- Arnot Ogden Medical Center
- Ira Davenport Memorial Hospital
- Corning Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 55.31
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041230000665 | NY | Practitioner - Internal Medicine | 0244298685 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234124 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current |
Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current | Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Arnot Medical Services PLLC | Internal Medicine | Current |
Accepting new patients |
| Arnot Ogden Medical Center | Current |
Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Chemung Medical Services PC | Internal Medicine | Past | Accepting new patients |
Locations
7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500
200 Madison Ave
Fl 3
Elmira, NY 14901
Phone (607) 734-1581
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050
418 S Hamilton St
Ste 109
Painted Post, NY 14870
Phone (607) 936-2089
Interoperability endpoints
- darius.listopadzki@arn.eclinicaldirectplus.com
- dlistopadzki20824@direct.xtensys.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 234124 | NY | Yes |
Addresses
Primary practice location
418 S Hamilton St
Suite 109
Painted Post, NY 14870-9705
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02618582 | Medicaid | NY | |
| 102812894 | Medicaid | PA |
Other providers in Painted Post, NY
- Markaley Jo Kosa
- William V Krazinski
- Daniel P. Kreisler
- Rory Connor Lavallee
- Gretchen Laura Lehman
- Ciera Lovitt
- Connie Elaine Lucia
- Sabrina Macomber
- Patricia Ann Madden
- Terry P Mangiagli
All providers in Painted Post, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.