NPIMap

Individual provider Active NPI

David Leslie Carr-Locke, MD FRCP FACG MASGE

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1417913609
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
255856 Issued in NY
Practice address
1283 York Avenue
New York, NY 10021
Phone
(646) 697-0970
Fax
(646) 697-1006
NPI assigned
Apr 25, 2006
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 255856 NY Primary

Addresses

Primary practice location

1283 York Avenue
New York, NY 10021

Mailing address

1283 York Avenue
New York, NY 10021
Phone (646) 697-0970

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
I20100716000171 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 4486549516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
FL 4
New York, NY 10021-5663
Phone (646) 962-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Weill Medical College of Cornell Gastroenterology CurrentSince Jan 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Weill Cornell Eye Associates Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145

10 Union Sq E
Ste 2G
New York, NY 10003
Phone (212) 420-4015

1305 York Ave
Fl 4
New York, NY 10021
Phone (646) 962-4000

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
Rm J314
New York, NY 10065
Phone (212) 746-4158

Networks

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

Interoperability endpoints

  • Direct secure messaging: dac9184@direct.nyp.org

Organizations & group practices 8

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1417913609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 YORK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "646-697-0970",
            "fax_number": "646-697-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 YORK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "646-697-0970",
            "fax_number": "646-697-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR-LOCKE",
        "first_name": "DAVID",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD FRCP FACG MASGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "255856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.