Active NPI
David Craig Ferris, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 215307
- Practice address
- 1111 Amsterdam Ave
St. Luke'S Roosevelt Hospital Center, Scrymser 3Rd FL
New York, NY 10025-1716 - Phone
- (212) 523-3847
- Fax
- (212) 523-5677
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 215307 | NY | |
| Internal Medicine Physician | 207R00000X | 215307 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
St. Luke'S Roosevelt Hospital Center, Scrymser 3Rd FL
New York, NY 10025-1716
Mailing address
PO Box 95000-2240
Philadelphia, PA 19195-0001
Phone (212) 523-3847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02203583 | Medicaid | NY | |
| A400052445 | Other | MEDICARE PTAN |
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
- Internal Medicine
- Education
- New York University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Gerard Ave
Bronx, NY 10452-8015
Phone (718) 960-2780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Internal Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Internal Medicine | Past | Accepting new patients |
Locations
1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
227 Madison St
New York, NY 10002
Phone (212) 238-7000
50 Water St
Fl 3
New York, NY 10004
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- dferris3922389@nychhc.direct-ci.com
Organizations & group practices 7
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Internal Medicine
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
Internal Medicine
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Emergency Medicine Physician
- New York, NY
- NPI 1073524369
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1811095375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2240",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191950001",
"telephone_number": "212-523-3847",
"fax_number": "212-523-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"address_2": "ST. LUKE'S ROOSEVELT HOSPITAL CENTER, SCRYMSER 3RD FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-3847",
"fax_number": "212-523-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "DAVID",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "215307",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "215307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02203583",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400052445",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.