Individual provider Active NPI

David Mikhail, MD, FRCSC

  • Urology Physician
  • New Hyde Park, NY
National Provider Identifier
1669959763
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
294259-1 Issued in NY
Practice address
450 Lakeville Rd Ste M41
New Hyde Park, NY 11042-1117
Phone
(516) 734-8567
Fax
(516) 734-8537
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 294259-1 NY Primary

Addresses

Primary practice location

450 Lakeville Rd Ste M41
New Hyde Park, NY 11042-1117

Mailing address

450 Lakeville Rd Ste M41
New Hyde Park, NY 11042-1117
Phone (516) 734-8567

Other identifiers 1

IdentifierTypeStateIssuer
2030401OtherROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA

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
I20190121000782 NY Practitioner - Urology 2365794591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 8224282926, 317 clinicians

Practice addresses (Care Compare)

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

  • Queens Hospital Center Hospital, Jamaica, NY, CCN 330231
  • Elmhurst Hospital Center Hospital, Elmhurst, NY, CCN 330128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294259-1NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Urology CurrentSince Nov 20, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Urology CurrentSince Aug 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

450 Lakeville Rd
Ste M41
New Hyde Park, NY 11042
Phone (516) 734-8567

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: dmikhail1642990@nychhc.direct-ci.com

Organizations & group practices 5

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 2

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1669959763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAKEVILLE RD STE M41",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421117",
            "telephone_number": "516-734-8567",
            "fax_number": "516-734-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAKEVILLE RD STE M41",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421117",
            "telephone_number": "516-734-8567",
            "fax_number": "516-734-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "294259-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA",
            "identifier": "2030401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.