Active NPI
Daniel Seth Gingold, MD
- Colon & Rectal Surgery Physician
- New York, NY
National Provider Identifier
1376834309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- A116809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.21 of 100
- Quality
- 86.52
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 83 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116809 | CA | MD | Social Worker |
| 259877 | NY | MD | Surgery Physician |
| A116809 | CA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey P. Lake, M.D., Inc. | Colon & Rectal Surgery | Current | 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
- 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.
-
- Colon & Rectal Surgery Physician
- Encino, CA
- NPI 1639487002
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.