NPIMap

Individual provider Active NPI

Daniel Kurbanov, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Rockville Centre, NY
National Provider Identifier
1366856874
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
303509 Issued in NY
Practice address
200 N Village Ave Ste 300
Rockville Centre, NY 11570-2300
Phone
(516) 536-8151
NPI assigned
Jun 12, 2014
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 61669 CT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 303509 NY Primary
Pulmonary Disease Physician 207RP1001X 303509 NY

Addresses

Primary practice location

200 N Village Ave Ste 300
Rockville Centre, NY 11570-2300

Mailing address

200 N Village Ave Ste 300
Rockville Centre, NY 11570-2300
Phone (516) 536-8151

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
I20200812000666 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6204100829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

Merit-based Incentive Payment System (MIPS)

Final score
23.98 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303509NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Critical Care Medicine CurrentSince May 1, 2023 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Jun 28, 2024 Accepting new patients
Louis Saffran Physician PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations

13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701

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

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

200 N Village Ave
Ste 300
Rockville Ctr, NY 11570
Phone (516) 536-8151

Interoperability endpoints

  • Direct secure messaging: dkurbanov2028165@nychhc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1366856874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VILLAGE AVE STE 300",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702300",
            "telephone_number": "516-536-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VILLAGE AVE STE 300",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702300",
            "telephone_number": "516-536-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURBANOV",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "61669",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "303509",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "303509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.