Active NPI
Nathallie Pokasuwan, M.D.
- Geriatric Medicine (Family Medicine) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 323184
- Practice address
- 5141 Broadway
Department of Geriatrics and Palliative Care
New York, NY 10034 - Phone
- (212) 932-4000
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD469516 | PA | |
| Family Medicine Physician | 207Q00000X | 265060 | MA | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 323184 | NY | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 323184 | NY | Primary |
Addresses
Primary practice location
5141 Broadway
Department of Geriatrics and Palliative Care
New York, NY 10034
Mailing address
5141 Broadway
Department of Geriatrics and Palliative Care
New York, NY 10034
Other practice location 1
39 Broadway Fl 3
New York, NY 10006-3113
Phone (212) 420-3370
Other practice location 2
3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (215) 444-7215
Other practice location 3
1601 Washington St
Family Medicine
Boston, MA 02120
Phone (617) 425-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
- New York-Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 323184 | NY | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
5141 Broadway
New York, NY 10034
Phone (212) 932-4000
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- bxd9005@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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 and National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Specialist
- New York, NY
- NPI 1801074315
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1285983015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 BROADWAY",
"address_2": "DEPARTMENT OF GERIATRICS AND PALLIATIVE CARE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 BROADWAY",
"address_2": "DEPARTMENT OF GERIATRICS AND PALLIATIVE CARE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10034",
"telephone_number": "212-932-4000"
}
],
"practiceLocations": [
{
"address_1": "39 Broadway Fl 3",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100063113",
"country_code": "US",
"telephone_number": "212-420-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3621 Aramingo Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191344607",
"country_code": "US",
"telephone_number": "215-444-7215",
"fax_number": "215-979-6726",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 Washington St",
"address_2": "Family Medicine",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02120",
"country_code": "US",
"telephone_number": "617-425-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POKASUWAN",
"first_name": "NATHALLIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD469516",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "265060",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NY",
"license": "323184",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "323184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.