Active NPI
Paul F Zelkovic, MD
- Pediatric Urology Physician
- Tarrytown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 2319181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2579871 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 043727 | CT | MD | Urology Physician |
| 2319181 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Pediatric Urology | Current | Accepting new patients |
| Pediatric Urology Associates of New Jersey, PC | Past | 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
- pzelkovic67717@northwell.direct-ci.com
- paulzelkovic@mai.allscriptsdirect.net
- paul.zelkovic@pedsurology.eclinicaldirectplus.com
- pzelkovic612915@nyumc.direct-ci.com
- 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.
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- NPI 1104787613
-
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- NPI 1013295245
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.