Diane B Zlotnikov-Smolyare, M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Dover Plains, NY
NPI 1376773630 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1376773630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 204960 (NY)
- Practice address
- 355 Poplar Hill Rd
Dover Plains, NY 12522 - Phone
- (914) 472-0749
- Fax
- (914) 472-0749
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710000689 | ME | Practitioner - Endocrinology | 4486914173 | Reassigns benefits to 1 organization |
| I20240827000196 | MA | Practitioner - Endocrinology |
4486914173 | Practice locations: Swampscott, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current |
Accepting new patients |
Locations
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
900 Broadway
Bangor, ME 04401
Phone (207) 907-3300
360 Broadway
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Bangor, ME 04401
Phone (207) 262-1703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 204960 | NY | Yes |
Addresses
Primary practice location
355 Poplar Hill Rd
Dover Plains, NY 12522
Mailing address
355 Poplar Hill Rd
Dover Plains, NY 12522-5161
Phone (914) 472-0749
Other providers in Dover Plains, NY
- Towns of Dover Amenia Washington & Unionvale Union Free School Board O
- Peggy Sue Tryonoviech
- Aldo A Virasi
- Iwona Vujovic
- Robin Wellington
All providers in Dover Plains, NY · Endocrinology, Diabetes & Metabolism Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.