Individual provider Active NPI

Dianne Marie Augelli, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1609956473
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
273011 Issued in NY
Practice address
425 E 61St St FL 5
New York, NY 10065-8722
Phone
(646) 962-7378
Fax
(646) 962-0455
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28077 SC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2010004018 MO
Sleep Medicine (Internal Medicine) Physician 207RS0012X 273011 NY
Psychiatry Physician 2084P0800X 28077 NY
Psychiatry Physician 2084P0800X 28077 SC
Psychiatry Physician 2084P0800X 2010004018 MO
Psychiatry Physician 2084P0800X 273011 NY
Internal Medicine Physician 207R00000X 273011 NY Primary

Addresses

Primary practice location

425 E 61St St FL 5
New York, NY 10065-8722

Mailing address

425 E 61St St FL 5
New York, NY 10065-8722
Phone (646) 962-7378

Other identifiers 2

IdentifierTypeStateIssuer
281509MedicaidSC
1609956473MedicaidMO

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address dma9013@direct.nyp.org Direct

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
I20150120000081 NY Practitioner - Neurology 3476630492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2323

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273011NYMDInternal Medicine Physician
2010004018MOMDPsychiatry Physician
28077NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 15, 2015 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Current Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 15, 2015 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Snap Diagnostics, LLC CurrentSince Feb 17, 2016 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

425 E 61st St
Fl 5
New York, NY 10065
Phone (646) 962-7378

520 E 70th St
#607
New York, NY 10021
Phone (212) 746-2623

635 W 165th St
Ste 636
New York, NY 10032
Phone (212) 342-1600

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

5141 Broadway
#3
New York, NY 10034
Phone (212) 932-4165

Networks

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

Interoperability endpoints

  • Direct secure messaging: dma9013@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

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    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1609956473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658722",
            "telephone_number": "646-962-7378",
            "fax_number": "646-962-0455"
        },
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "city": "NEW YORK",
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            "telephone_number": "646-962-7378",
            "fax_number": "646-962-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGELLI",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "28077",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "2010004018",
            "primary": false
        },
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            "state": "NY",
            "license": "273011",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
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            "license": "28077",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
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            "state": "SC",
            "license": "28077",
            "primary": false
        },
        {
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            "taxonomy_group": "",
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            "license": "2010004018",
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            "code": "2084P0800X",
            "taxonomy_group": "",
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            "state": "NY",
            "license": "273011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "273011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281509",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609956473",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "425 E 61st St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100658722",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "425 E 61st St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100658722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dma9013@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "425 E 61st St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100658722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.