Active NPI
David Mikhail, MD, FRCSC
- Urology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 294259-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030401 | Other | ROYAL 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952
Hospital & facility affiliations
- Queens Hospital Center
- Elmhurst Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294259-1 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Urology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Urology | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
Urology
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.