Individual provider Active NPI

Ernest Gordon Depuey III, M.D.

  • Nuclear Medicine Physician
  • New York, NY
National Provider Identifier
1457344459
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
178463-1 Issued in NY
Practice address
1780 Broadway
7TH Floor
New York, NY 10019-1414
Phone
(211) 315-0144
Fax
(212) 315-0196
NPI assigned
Aug 24, 2005
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 178463-1 NY Primary

Addresses

Primary practice location

1780 Broadway
7TH Floor
New York, NY 10019-1414

Mailing address

1 Gustave L. Levy Place
Box 1194
New York, NY 10029-6574
Phone (212) 241-8395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041019001451 NY Practitioner - Nuclear MedicinePractitioner - Internal MedicinePractitioner - Diagnostic Radiology 1658332051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Baylor College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178463-1NYMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jan 15, 2023 Accepting new patients
Fpa Hospital Based Nuclear Medicine CurrentSince Aug 28, 2018 Accepting new patients
Fpa Hospital Based CurrentSince Aug 28, 2018 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 15, 2023 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
New York Radiology Associates Past Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1090 Amsterdam Ave
#3
New York, NY 10025
Phone (212) 523-1784

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

425 W 59th St
#6
New York, NY 10019
Phone (212) 532-7533

425 W 59th St
Ste 9C
New York, NY 10019
Phone (212) 492-5550

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

Philadelphia, PA 19195

Networks

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

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1457344459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. LEVY PLACE",
            "address_2": "BOX 1194",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-8395",
            "fax_number": "212-289-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 BROADWAY",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191414",
            "telephone_number": "211-315-0144",
            "fax_number": "212-315-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUEY",
        "first_name": "ERNEST",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "178463-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.