Active NPI
Diana Elish, M.D.
- Internal Medicine Physician
- Rego Park, NY
National Provider Identifier
1821284142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 249712
- Practice address
- 9732 63Rd Rd
Rego Park, NY 11374-1639 - Phone
- (718) 275-2224
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249712 | NY | Primary |
Addresses
Primary practice location
9732 63Rd Rd
Rego Park, NY 11374-1639
Mailing address
9707 63Rd Rd
Apt 5D
Rego Park, NY 11374-1607
Phone (917) 609-3952
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080903000003 | NY | Practitioner - Internal Medicine | 2062588890 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9820 62ND Dr
Apt LF
Rego Park, NY 11374-1701
Phone (718) 440-8787
Hospital & facility affiliations
- NYU Langone Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
| Skin biopsy | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Artemis Medical, P.C. | Current | Accepting new patients | |
| Dmitry Khasak MD PC Inc | Past | Accepting new patients | |
| Advanced Diagnostic Imaging PLLC | Past | Accepting new patients | |
| Maimonides Medical Center Maimonides Primary Care FPP | Internal Medicine | Past | Accepting new patients |
| Better Skin Dermatology, LLC | Past | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
9732 63rd Rd
Rego Park, NY 11374
Phone (718) 255-1018
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- dianaelish@mai.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Diagnostic Radiology Physician
- Jackson Heights, NY
- NPI 1295008688
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013968593
Internal Medicine
-
- Specialist
- Jersey City, NJ
- NPI 1437214210
-
- Dermatology Physician
- Jersey City, NJ
- NPI 1679835946
Hospital & facility affiliations 7
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": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1821284142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 63RD RD",
"address_2": "APT 5D",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741607",
"telephone_number": "917-609-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9732 63RD RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741639",
"telephone_number": "718-275-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELISH",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "249712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.