Active NPI
Konstantin Millerman, MD
- Critical Care Medicine (Internal Medicine) Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 218796
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 493-7979
- Fax
- (914) 493-8373
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 218796 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 048893 | CT |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
19 Bradhurst Ave
Suite 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02444177 | Medicaid | NY |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | kom9006@direct.nyp.org | Direct | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
670 Stoneleigh Ave
Carmel, NY 10512-3997
Phone (845) 278-5683
685 White Plains Rd
Lowr Level
Eastchester, NY 10709-5545
Phone (914) 787-4100
Hospital & facility affiliations
- New York-Presbyterian Hospital
- Putnam Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048893 | CT | MD | Internal Medicine Physician |
| 26288 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Medical Associates, PC | Internal Medicine | Current | Accepting new patients |
| Critical Care Medical Management Associates PLLC | Critical Care Medicine | Current | Accepting new patients |
| Ccmma NJ LLC | Critical Care Medicine | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Lawrence Medical Associates, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Access Telecare, PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1100 Butte St
Redding, CA 96001
Phone (530) 227-6361
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100
685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
701 N Broadway
#13202
Sleepy Hollow, NY 10591
Phone (917) 608-5303
701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- kom9006@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Yorktown Heights, NY
- NPI 1023257441
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Critical Care Medicine (Anesthesiology) Physician
- Sleepy Hollow, NY
- NPI 1194090878
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Critical Care Medicine (Anesthesiology) Physician
- Passaic, NJ
- NPI 1124543095
-
- Multi-Specialty Clinic/Center
- Yorktown Heights, NY
- NPI 1184115479
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1679520472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "SUITE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7979",
"fax_number": "914-493-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLERMAN",
"first_name": "KONSTANTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "218796",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "048893",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02444177",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "55 Palmer Ave",
"city": "Bronxville",
"state": "NY",
"country_code": "US",
"postal_code": "107083403",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kom9006@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "55 Palmer Ave",
"city": "Bronxville",
"state": "NY",
"country_code": "US",
"postal_code": "107083403",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "55 Palmer Ave",
"city": "Bronxville",
"state": "NY",
"country_code": "US",
"postal_code": "107083403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.