Michael Riskevich, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208815 Issued in NY

Practice address

2818 Ocean Ave Ste 1
Brooklyn, NY 11235-3170

Phone

(718) 934-8484

Fax

(718) 934-4267

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanta Medical P.C.Group PAC ID 9335295401, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

25.77 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

85.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mriskevich@mrd-ny.direct.office.nextgen.com

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.

• Advanta Medical P.C.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1922246008
  Medicare reassignment Care Compare group NPD Authorized official
• Advanta Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1386036143
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1295897155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 OCEAN AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353170",
            "telephone_number": "718-934-8484",
            "fax_number": "718-934-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 OCEAN AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353170",
            "telephone_number": "718-934-8484",
            "fax_number": "718-934-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKEVICH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01810360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "208815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rising Speech
• Rising Star Companion Inc.
• Rising Steps LLC
• Rising Tide Mental Health Counseling
• Viktoria Chaiko Risis, LMSW
• Mikhail P Risman, M.D.
• Riso Medical P.C.
• Jennifer Anne Riso, PA
• Louis Riso, RPH
• Stephen L Riso, M.D.

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.

Verify at the official NPI Registry.