Individual provider Active NPI

Michael P Verdirame, DO

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1326075748
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
246719-1 Issued in NY
Practice address
336 E 86TH St
New York, NY 10028-4615
Phone
(212) 772-3627
Fax
(212) 772-3628
NPI assigned
Jun 28, 2006
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2006-00604 NC
Emergency Medicine Physician 207P00000X 246719-1 NY Primary

Addresses

Primary practice location

336 E 86TH St
New York, NY 10028-4615

Mailing address

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000285 NY Practitioner - Emergency Medicine 5496751091 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8712 4TH Ave
Brooklyn, NY 11209-5110
Phone (718) 530-1155

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00604NCMDEmergency Medicine Physician
246719-1NYMDEmergency Medicine Physician
604NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mount Sinai Hospital Current Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
MSHQ Emergency Care Associates CurrentSince May 1, 2012 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jun 1, 2015 Accepting new patients
Mount Sinai Hospital CurrentSince May 1, 2012 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Stony Brook Emergency Physicians, University Faculty Practice Corporat Emergency Medicine Past Accepting new patients

Locations

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: michael.verdirame.1@2983.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1326075748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284615",
            "telephone_number": "212-772-3627",
            "fax_number": "212-772-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284615",
            "telephone_number": "212-772-3627",
            "fax_number": "212-772-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDIRAME",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2006-00604",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "246719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.