NPIMap

Individual provider Active NPI

David Todd Ennis, MD

  • Internal Medicine Physician
  • Yorktown Heights, NY
National Provider Identifier
1306839592
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
160802 Issued in NY
Practice address
1838 Commerce St
Yorktown Heights, NY 10598-4400
Phone
(914) 962-3500
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 160802 NY Primary

Addresses

Primary practice location

1838 Commerce St
Yorktown Heights, NY 10598-4400

Mailing address

1838 Commerce St
Yorktown Heights, NY 10598-4400
Phone (914) 962-3500

Other identifiers 9

IdentifierTypeStateIssuer
2C5048OtherHEALTHET
4245064OtherAETNA - PPO
CK0751OtherRR MEDICARE
120894OtherCIGNA
961517OtherAETNA - HMO
148653OtherUNITED
WP483OtherOXFORD
00970489MedicaidNY
WS0001194OtherSELECT PRO

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
I20060426000674 NY Practitioner - Internal Medicine 2860402435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

1838 Commerce St
Yorktown Heights, NY 10598-4400
Phone (914) 962-4000

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160802NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients

Locations

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

36 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-4900

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

1838 Commerce St
Yorktown Hts, NY 10598
Phone (914) 962-3500

322 Underhill Ave
Yorktown Hts, NY 10598
Phone (914) 245-2818

Networks

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

Interoperability endpoints

  • Direct secure messaging: david.ennis@direct.westchesterhealth.nextgenshare.com
  • Direct secure messaging: dennis66721@northwell.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1306839592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984400",
            "telephone_number": "914-962-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984400",
            "telephone_number": "914-962-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHET",
            "identifier": "2C5048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "4245064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CK0751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "120894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "961517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "148653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WP483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00970489",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT PRO",
            "identifier": "WS0001194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.