David M. Whitehead, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · North New Hyde Park, NY
NPI 1265729115 · NPPES record last updated Oct 25, 2019
Key facts
- NPI
- 1265729115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 276370 (NY)
- Practice address
- 1991 Marcus Ave Ste 102
North New Hyde Park, NY 11042 - Phone
- (516) 497-7900
- Fax
- (516) 497-7920
- NPI assigned
- Jun 29, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Tufts University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20190104002128 | NY | Practitioner - Plastic and Reconstructive Surgery | 8325333727 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| North Shore - Lij Medical PC | Current |
Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
27005 76th Ave
#222
New Hyde Park, NY 11040
Phone (718) 470-7260
200 W 13th St
New York, NY 10011
Phone (646) 665-6784
200 W 13th St
Fl 6
New York, NY 10011
Phone (646) 665-6784
1991 Marcus Ave
Ste 102
North New Hyde Park, NY 11042
Phone (516) 497-7900
300 Community Dr
Plandome, NY 11030
777 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-0664
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- dwhitehead68143@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 276370 | NY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 276370 | NY | Yes |
Addresses
Primary practice location
1991 Marcus Ave Ste 102
North New Hyde Park, NY 11042
Mailing address
1991 Marcus Ave Ste 102
North New Hyde Park, NY 11042-2062
Phone (516) 497-7900
Other practice location 1
777 N Broadway
Sleepy Hollow, NY 10591-1000
Phone (516) 497-7900
Other practice location 2
200 W 13th St Fl 6
New York, NY 10011-7702
Phone (516) 497-7900
Other practice location 3
1991 Marcus Ave Ste 102
North New Hyde Park, NY 11042
Phone (516) 497-7900
Other providers in North New Hyde Park, NY
- Brittany Puntiel
- Jeffrey Rajkumar
- Sylvia Ryszewska
- Priya Devi Shivraj
- Javana Smith
- Reason Wilken
- Jian Yang
All providers in North New Hyde Park, NY · Plastic and Reconstructive Surgery 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 Oct 25, 2019. 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.