Individual provider Active NPI

Paul F Zelkovic, MD

  • Pediatric Urology Physician
  • Tarrytown, NY
National Provider Identifier
1528098092
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
2319181 Issued in NY
Practice address
150 White Plains Rd
Sutie 306
Tarrytown, NY 10591-5535
Phone
(914) 493-8628
Fax
(914) 493-8564
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2319181 NY
Urology Physician 208800000X 043727 CT
Pediatric Urology Physician 2088P0231X 043727 CT
Pediatric Urology Physician 2088P0231X 2319181 NY Primary

Addresses

Primary practice location

150 White Plains Rd
Sutie 306
Tarrytown, NY 10591-5535

Mailing address

247 Route 100
Suite 1002
Somers, NY 10589-3231
Phone (914) 962-8290

Other identifiers 1

IdentifierTypeStateIssuer
2579871MedicaidNY

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
I20050621000459 NY Practitioner - Urology 9739124728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043727CTMDUrology Physician
2319181NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
New York University Pediatric Urology CurrentSince Nov 1, 2023 Accepting new patients
Pediatric Urology Associates of New Jersey, PC PastSince Sep 1, 2018 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

200 Westage Business Ctr Dr
Ste 231
Fishkill, NY 12524
Phone (845) 896-6669

212 Crystal Run Rd
#2
Middletown, NY 10941
Phone (845) 695-6888

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

150 White Plains Rd
Ste 306
Tarrytown, NY 10591
Phone (914) 493-8628

Networks

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

Interoperability endpoints

  • Direct secure messaging: pzelkovic67717@northwell.direct-ci.com
  • Direct secure messaging: paulzelkovic@mai.allscriptsdirect.net
  • Direct secure messaging: paul.zelkovic@pedsurology.eclinicaldirectplus.com
  • Direct secure messaging: pzelkovic612915@nyumc.direct-ci.com
  • Direct secure messaging: pzelkovi@direct.health-quest.org

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1528098092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 ROUTE 100",
            "address_2": "SUITE 1002",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893231",
            "telephone_number": "914-962-8290",
            "fax_number": "914-962-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WHITE PLAINS RD",
            "address_2": "SUTIE 306",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915535",
            "telephone_number": "914-493-8628",
            "fax_number": "914-493-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELKOVIC",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "2319181",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "043727",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CT",
            "license": "043727",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "2319181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2579871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.