Active NPI
Tate Kirk, M.D.
- Vascular & Interventional Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 301045
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203-2012 - Phone
- (718) 270-1000
- NPI assigned
- Aug 20, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 301045 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 301045 | NY |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000
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
- Diagnostic Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140
51 W 51St St
Suite 300
New York, NY 10019-1951
Phone (212) 326-8518
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
- New York-Presbyterian Hospital
- Hudson Valley Hospital Center
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Current | Accepting new patients |
| Montefiore Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Columbiadoctors/Newyork-Presbyterianimaging | Current | Accepting new patients | |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Columbia/Newyork-Presbyterian Advanced Imaging Inc. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
722 W 168th St
New York, NY 10032
Phone (212) 305-6754
51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- tak9093@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 8
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.
-
- Specialist
- New York, NY
- NPI 1902345986
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Specialist
- New York, NY
- NPI 1356171797
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- 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": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1811396377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "TATE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "301045",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "301045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.