Individual provider Active NPI

Yuriy Tsirlin, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1659570323
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
237976 Issued in NY
Practice address
4721 Fort Hamilton Pkwy
Dept of Gastroenterology
Brooklyn, NY 11219-2927
Phone
(718) 283-5900
Fax
(718) 635-7630
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 237976 NY Primary

Addresses

Primary practice location

4721 Fort Hamilton Pkwy
Dept of Gastroenterology
Brooklyn, NY 11219-2927

Mailing address

4721 Fort Hamilton Pkwy
Dept of Gastroenterology
Brooklyn, NY 11219-2927
Phone (718) 283-5900

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
I20090722000030 NY Practitioner - Gastroenterology 5193877108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center MMC Gastroenterology FPPGroup PAC ID 4981595055, 14 clinicians
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237976NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center - MMC Gastroenterology FPP Gastroenterology CurrentSince Jul 1, 2009 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Sep 1, 2011 Accepting new patients

Locations

4721 Fort Hamilton Pkwy
Brooklyn, NY 11219
Phone (718) 283-5900

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 801
Brooklyn, NY 11204
Phone (718) 615-0400

Networks

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

Interoperability endpoints

  • Direct secure messaging: yuriy.tsirlin.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: yuriytsirlin@mai.allscriptsdirect.net

Organizations & group practices 3

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 1

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.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1659570323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 FORT HAMILTON PKWY",
            "address_2": "DEPT OF GASTROENTEROLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192927",
            "telephone_number": "718-283-5900",
            "fax_number": "718-635-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 FORT HAMILTON PKWY",
            "address_2": "DEPT OF GASTROENTEROLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192927",
            "telephone_number": "718-283-5900",
            "fax_number": "718-635-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIRLIN",
        "first_name": "YURIY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "237976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.