Thomas J Izquierdo, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

156124 Issued in NY

Practice address

3757 91St St
Jackson Heights, NY 11372-7901

Phone

(718) 779-7697

Fax

(718) 457-2402

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: thomasizquierdo@1485.mdlanddirect.com

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.

• Thomas Izquierdo Physician P.C.

  • Gastroenterology Physician
  • Jackson Heights, NY
  • NPI 1568313153
  NPD (past) Authorized official
• Gastroenterology & Liver Disease, PC

  • Specialist
  • Forest Hills, NY
  • NPI 1891034500
  NPD
• Queens Boulevard ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Rego Park, NY
  • NPI 1558612762
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649369554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SEVEN SPRINGS CT",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431006",
            "telephone_number": "631-424-8002",
            "fax_number": "718-457-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-779-7697",
            "fax_number": "718-457-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "156124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01062922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Allergy & Asthma PC
• Israel Aviles MD PC
• Ethel Miriam Iusim, M.D.
• Ivelisse Mejia Rima DDS
• Izquierdo-Gastroenterology, PC
• Marisol Izurieta
• J & M Pharmacy Corp
• J&E Optical Center, LLC
• Jac Pharmacy Inc
• Jackson Height Medical Group, P.C.

• Gastroenterology Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.