Individual provider Active NPI

Rossana Dilmanian, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1821174632
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234625 Issued in NY
Practice address
332 Dekalb Ave
Brooklyn, NY 11205-3820
Phone
(718) 852-5252
Fax
(718) 802-1113
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 234625 NY Primary

Addresses

Primary practice location

332 Dekalb Ave
Brooklyn, NY 11205-3820

Mailing address

381 5TH St
Brooklyn, NY 11215-2806
Phone (718) 802-1110

Other identifiers 1

IdentifierTypeStateIssuer
02670166MedicaidNY

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
I20050808001276 NY Practitioner - Internal Medicine 4183653397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

332 Dekalb Ave
Brooklyn, NY 11205-3820
Phone (718) 852-5252

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
American Medical Services, PC Internal Medicine Past Accepting new patients
Comprehensive Women'S Health of N.Y. PLLC PastSince Jan 9, 2009 Accepting new patients

Locations

558 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 687-6161

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

13704 New York Blvd
Jamaica, NY 11434
Phone (718) 723-5616

13704 Guy R Brewer Blvd
Ste 1A
Jamaica, NY 11434
Phone (718) 527-3404

Networks

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

Organizations & group practices 3

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 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1821174632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152806",
            "telephone_number": "718-802-1110",
            "fax_number": "718-802-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053820",
            "telephone_number": "718-852-5252",
            "fax_number": "718-802-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILMANIAN",
        "first_name": "ROSSANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.