Individual provider Active NPI

Igor A Laskowski, MD, PHD

  • Vascular Surgery Physician
  • Valhalla, NY
National Provider Identifier
1336268382
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
233999 Issued in NY
Practice address
100 Woods Rd FL 1
Valhalla, NY 10595-1530
Phone
(914) 909-6900
Fax
(914) 493-2828
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 233999 NY Primary

Addresses

Primary practice location

100 Woods Rd FL 1
Valhalla, NY 10595-1530

Mailing address

100 Woods Rd FL 1
Valhalla, NY 10595-1530
Phone (914) 909-6900

Other identifiers 9

IdentifierTypeStateIssuer
A100000178OtherNYMEDICARE GROUP PTAN
P00421092OtherNYRAIL ROAD MEDICARE
1N45433641OtherNYPTAN
1N4543K223OtherNYPTAN
1336268382OtherNYNPI
1N4543K221OtherNYPTAN
02897010MedicaidNY
A400035484OtherNYMEDICARE INDIVIDUAL PTAN
1N4543K222OtherNYPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Igor.Laskowski@wmchealth.cernerdirect.com Direct

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
I20070711000603 NY Practitioner - Vascular Surgery 8123128782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

666 Lexington Ave
Suite 208
Mount Kisco, NY 10549-3635
Phone (914) 909-6900

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)12
Removal of tissue23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233999NYMDVascular Surgery Physician

Practice roles (9 of 13)

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jul 1, 2011 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 1, 2011 Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Cardiology Consultantsof Westchester, PC Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients
Cardiology Consultants of Westchester, PC Past Accepting new patients
Westchester Medical Center PastSince Jan 26, 2022 Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3850S
Hawthorne, NY 10532
Phone (914) 345-1313

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

100 Woods Rd
Fl 1
Valhalla, NY 10595
Phone (914) 493-5189

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

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

Interoperability endpoints

  • Direct secure messaging: igor.laskowski@wmchealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 9

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 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1336268382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS RD FL 1",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-909-6900",
            "fax_number": "914-493-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD FL 1",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-909-6900",
            "fax_number": "914-493-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKOWSKI",
        "first_name": "IGOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "233999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "A100000178",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00421092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1N45433641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1N4543K223",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336268382",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1N4543K221",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02897010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "A400035484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1N4543K222",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Igor.Laskowski@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner EMS Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "100 Woods Rd Fl 1",
            "city": "Valhalla",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105951530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.