Igor A. Talis, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

253007 Issued in NY

Practice address

5115 Beach Channel Dr
PMC
Far Rockaway, NY 11691-1042

Phone

(718) 734-3027

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• M J H S Home Care Home health agency, Brooklyn, NY, CCN 337061
• Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190

Merit-based Incentive Payment System (MIPS)

Final score

22.89 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• It Medical Essence PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1154649887
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gamzel Ny, Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation
• Metropolitan Jewish Home Care Inc.

  • Home Health Agency
  • New York, NY
  • NPI 1720019144
  Care Compare affiliation
• MJHC Home Care, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1710149984
  Care Compare affiliation
• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1588843650
  Care Compare affiliation
• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1841491412
  Care Compare affiliation
• Shining Star Home Care, LLC.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1205128147
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1457561920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 KINGS HWY APT F11",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291780",
            "telephone_number": "917-902-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 BEACH CHANNEL DR",
            "address_2": "PMC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911042",
            "telephone_number": "718-734-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIS",
        "first_name": "IGOR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yonas Abebaw Tadesse, MD
• Malka Taitelbaum
• Dorothy A Taitz, RN
• Funmilola Taiwo, RN
• Samer Takmaje
• Farhana Hossain Tamanna, DO
• Sorah Tamir, COTA
• Adina Tanenbaum, MS,CCC,SLP
• Jay A Tanoy, PT
• Maher Tarabichi, M.D.

• Family Medicine Physician in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.

Verify at the official NPI Registry.