Individual provider Active NPI

Daniel Seth Gingold, MD

  • Colon & Rectal Surgery Physician
  • New York, NY
National Provider Identifier
1376834309
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A116809 Issued in CA
Practice address
1378 3Rd Ave
Apt 3C
New York, NY 10075-0457
Phone
(917) 509-5256
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 259877 NY
Colon & Rectal Surgery Physician 208C00000X A116809 CA Primary

Addresses

Primary practice location

1378 3Rd Ave
Apt 3C
New York, NY 10075-0457

Mailing address

16311 Ventura Blvd
Ste 505
Encino, CA 91436-4309
Phone (917) 509-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120910000611 CA Practitioner - Colorectal Surgery (Proctology) 4587812912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey P Lake MD IncGroup PAC ID 4587852868, 4 clinicians

Practice addresses (Care Compare)

16311 Ventura Blvd
Suite 505
Encino, CA 91436-4309
Phone (818) 387-8725

Hospital & facility affiliations

  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
95.21 of 100Reported as group
Quality
86.52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy83
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116809CAMDSocial Worker
259877NYMDSurgery Physician
A116809CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey P. Lake, M.D., Inc. Colon & Rectal Surgery CurrentSince Jul 1, 2012 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

16311 Ventura Blvd
Ste 505
Encino, CA 91436
Phone (818) 387-8725

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: danielgingold@fjpl.ssdirect.aprima.com

Organizations & group practices 3

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 1

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1376834309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "STE 505",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364309",
            "telephone_number": "917-509-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 3RD AVE",
            "address_2": "APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750457",
            "telephone_number": "917-509-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGOLD",
        "first_name": "DANIEL",
        "middle_name": "SETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "259877",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A116809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.