Individual provider Active NPI

Panagiotis Pagonis, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1467465898
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211027 Issued in NY
Practice address
19603 42ND Ave
Flushing, NY 11358-3015
Phone
(718) 281-2001
Fax
(718) 281-2091
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211027 NY Primary

Addresses

Primary practice location

19603 42ND Ave
Flushing, NY 11358-3015

Mailing address

19603 42ND Ave
Flushing, NY 11358-3015
Phone (718) 281-2001

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
I20031121000413 NY Practitioner - Internal Medicine 1658275680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

4 Ohio Dr
Suite 200
New Hyde Park, NY 11042-1111
Phone (518) 775-5454

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 26, 2022 Accepting new patients
New York Queens Medicine and Surgery, P.C. Current Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 19, 2017 Accepting new patients

Locations

19603 42nd Ave
Flushing, NY 11358
Phone (718) 281-2001

19132 Northern Blvd
Flushing, NY 11358
Phone (516) 302-8565

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

4 Ohio Dr
Ste 200
New Hyde Park, NY 11042
Phone (516) 775-4545

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1467465898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19603 42ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583015",
            "telephone_number": "718-281-2001",
            "fax_number": "718-281-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19603 42ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583015",
            "telephone_number": "718-281-2001",
            "fax_number": "718-281-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGONIS",
        "first_name": "PANAGIOTIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.