Israel Shimonov, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012438 Issued in NY

Practice address

15010 78TH Ave
Flushing, NY 11367-3437

Phone

(347) 813-7336

NPI assigned

Mar 24, 2008

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Israel Schur MD PLLCGroup PAC ID 4082960687, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.42 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

64.73

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

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

Interoperability endpoints

• 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 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.

• Israel Schur MD PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1962917492
  Medicare reassignment Care Compare group
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1508266347
  Medicare reassignment NPD
• Excel Medical PC

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1003005083
  Medicare reassignment
• K & H Medical PLLC

  • Vascular & Interventional Radiology Physician
  • Bethpage, NY
  • NPI 1518458751
  Medicare reassignment
• The Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1265598783
  Medicare reassignment
• The Westchester Medical Practice, PC

  • Specialist
  • Yorktown Heights, NY
  • NPI 1225222953
  Medicare reassignment
• Well Medical Care PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1699427336
  Medicare reassignment
• Kidney Medical Associates PLLC

  • Specialist
  • Bronx, NY
  • NPI 1578933461
  NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699289488

  Physician Assistant

  NPD
• Medical Care for You PC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1659906667

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1619149291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 78TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 78TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673437",
            "telephone_number": "347-813-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMONOV",
        "first_name": "ISRAEL",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juien Shih
• Pei-Yu Shih
• San Cheng Shih, M.D.
• Christine Shim, LCSW
• David Shim, D.M.D
• Shimunlevy Image Corp
• Ilana Shimunov, DDS, MPH
• Leora A Shimunov
• Gerda Shimunova
• Isabell Shimunova, PHARMD

• Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.