Dmitry V Listengarten, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

M0152 Issued in TX

Practice address

8550 Huebner Road
San Antonio, TX 78229-3915

Phone

(210) 541-5300

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Arizona Behavioral Health Services, Inc.Group PAC ID 2860488368, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.74 of 100Reported as group

Quality

13.33

Promoting interoperability

80

Improvement activities

40

Cost

95.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: dmitry.listengarten.p1@direct.tgcaz.nextgenshare.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.

• D V Listengarten MD PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1902274269
  Medicare reassignment NPD Authorized official
• Southeastern Arizona Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Benson, AZ
  • NPI 1760830137
  Medicare reassignment Care Compare group NPD
• Tri-County Behavioral Healthcare

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1851333074
  Medicare reassignment NPD
• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989
  Medicare reassignment NPD
• La Frontera Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
  • NPI 1023119955
  Medicare reassignment NPD
• Southwest Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1144384389
  Medicare reassignment NPD
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• La Frontera Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1679674840
  NPD
• Lafrontera Center Inc

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1548361470
  NPD
• Southeastern Arizona Behavioral Health Service, Inc

  • Community/Behavioral Health Agency
  • Douglas, AZ
  • NPI 1932620390
  NPD
• Southeastern Arizona Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Safford, AZ
  • NPI 1134117047
  NPD
• Southwest Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Payson, AZ
  • NPI 1427165562
  NPD

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1669433173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293311",
            "telephone_number": "210-575-8229",
            "fax_number": "210-575-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 HUEBNER ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293915",
            "telephone_number": "210-541-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTENGARTEN",
        "first_name": "DMITRY",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "34057",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CH279",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DJ858",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942236",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212157603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisara Diagnostics
• Lisara Rehab Center
• Susan Scott Lisee, LCSW
• Jannell Lising, MD
• Listen in Therapy PLLC
• Camille Padgett Liston
• Eugene J Literski, R.PH.
• Roxanne Litman, M.S., CCC-SLP
• Little Amigos Pediatric Services
• Little Angels ABA Therapy, LLC

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.