Individual provider Active NPI

Yezina Temesgen Nigatu, M.D

  • Nephrology Physician
  • Stony Brook, NY
National Provider Identifier
1760610554
Registry record updated Jul 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
284378 Issued in NY
Practice address
HSCT T16 080
Stony Brook, NY 11794-8166
Phone
(631) 444-1617
Fax
(631) 444-6174
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 284378 NY Primary

Addresses

Primary practice location

HSCT T16 080
Stony Brook, NY 11794-8166

Mailing address

PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 444-0650

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
I20160902001709 NY Practitioner - NephrologyPractitioner - Internal Medicine 8729215777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

2520 30TH Ave
Long Island City, NY 11102-2448
Phone (212) 241-0034

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284378NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2019 Accepting new patients
Claxton Medical PC CurrentSince Jan 24, 2020 Accepting new patients
Claxton Medical PC Nephrology CurrentSince Jan 24, 2020 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Jan 24, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

13516 Roosevelt Ave
Flushing, NY 11354
Phone (212) 420-2452

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

3 Lyon Pl
Ste 200
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

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

Organizations & group practices 6

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 6

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469836800000",
    "number": "1760610554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-0650",
            "fax_number": "631-638-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HSCT T16 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948166",
            "telephone_number": "631-444-1617",
            "fax_number": "631-444-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGATU",
        "first_name": "YEZINA",
        "middle_name": "TEMESGEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "284378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.