Individual provider Active NPI

Rudy Albert Segna, M.D.

  • Gynecologic Oncology Physician
  • Forest Hills, NY
National Provider Identifier
1740226554
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
1727651-1 Issued in NY
Practice address
11205 Queens Blvd Ste B
Forest Hills, NY 11375-8311
Phone
(718) 303-3725
Fax
(718) 886-4251
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 1727651-1 NY Primary

Addresses

Primary practice location

11205 Queens Blvd Ste B
Forest Hills, NY 11375-8311

Mailing address

11205 Queens Blvd Ste B
Forest Hills, NY 11375-8311
Phone (718) 303-3725

Other identifiers 1

IdentifierTypeStateIssuer
133924575OtherNYTAX ID

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address rus9034@direct.nyp.org Direct

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
I20070501000052 NY Practitioner - Obstetrics/GynecologyPractitioner - General PracticePractitioner - Gynecological Oncology 9032154133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
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

LicenseStateTypeSpecialty
1727651-1NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jan 2, 2018 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jan 2, 2018 Accepting new patients
Cancer Surgery Associates,LLC PastSince Jul 1, 2007 Accepting new patients
Excelcare Medical Associates, PA PastSince Jan 1, 2015 Accepting new patients

Locations

11205 Queens Blvd
Ste B
Forest Hills, NY 11375
Phone (718) 303-3725

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIGCA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1740226554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 QUEENS BLVD STE B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113758311",
            "telephone_number": "718-303-3725",
            "fax_number": "718-886-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 QUEENS BLVD STE B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113758311",
            "telephone_number": "718-303-3725",
            "fax_number": "718-886-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGNA",
        "first_name": "RUDY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "1727651-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "133924575",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "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": "11205 Queens Blvd Ste B",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113758311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "11205 Queens Blvd Ste B",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113758311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rus9034@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "11205 Queens Blvd Ste B",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113758311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.