NPIMap

Individual provider Active NPI

Dmitriy Yadgarov, MD

  • Pulmonary Disease Physician
  • Forest Hills, NY
National Provider Identifier
1831395078
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
234729 Issued in NY
Practice address
11247 Queens Blvd 206
Forest Hills, NY 11375-7421
Phone
(718) 544-4200
Fax
(718) 544-4201
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 234729 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 234729 NY
Pulmonary Disease Physician 207RP1001X 234729 NY Primary
Internal Medicine Physician 207R00000X 234729 NY

Addresses

Primary practice location

11247 Queens Blvd 206
Forest Hills, NY 11375-7421

Mailing address

6433 98TH St 1E
Rego Park, NY 11374-3301
Phone (718) 344-0009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dyadgarov2856@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000006 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3274696380 Reassigns benefits to 3 organizations
Practice locations: Forest Hills, NY; Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

63 -18 Woodhaven Boulevard
Rego Park, NY 11374-2829
Phone (718) 416-0303

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 261-9100

9785 Queens Blvd
Rego Park, NY 11374-3319

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Critical Care Medicine Current Accepting new patients
New York University CurrentSince Oct 14, 2009 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2009 Accepting new patients
Queens Star Medical PLLC Internal Medicine PastSince May 6, 2009 Accepting new patients
Dmitriy Yadgarov PastSince Jan 1, 1990 Accepting new patients
Long Island Rheumatology PLLC PastSince Nov 1, 2023 Accepting new patients
Amerirehab Services PT PC Past Accepting new patients
Amerihealth Medical P.C Internal Medicine PastSince Apr 1, 2012 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

2626 E 14th St
Ste 204
Brooklyn, NY 11235
Phone (718) 513-1400

5910 Junction Blvd
Flushing, NY 11373
Phone (718) 271-6883

11247 Queens Blvd
Ste 206
Forest Hills, NY 11375
Phone (718) 268-1750

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFABA
  • Direct secure messaging: dmy9003@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: dyadgarov2856@nyumc.direct-ci.com

Organizations & group practices 10

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1831395078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 98TH ST 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743301",
            "telephone_number": "718-344-0009",
            "fax_number": "718-236-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD 206",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757421",
            "telephone_number": "718-544-4200",
            "fax_number": "718-544-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADGAROV",
        "first_name": "DMITRIY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "234729",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "234729",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "234729",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dyadgarov2856@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9785 Queens Blvd",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113743319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.