NPIMap

Individual provider Active NPI

Paul Kuperschmid, MD

  • Pulmonary Disease Physician
  • Lake Success, NY
National Provider Identifier
1861463754
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
179940 Issued in NY
Practice address
6 Ohio Dr
Suite 201
Lake Success, NY 11042-1129
Phone
(516) 328-8700
Fax
(516) 328-8779
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 179940 NY
Pulmonary Disease Physician 207RP1001X 179940 NY Primary

Addresses

Primary practice location

6 Ohio Dr
Suite 201
Lake Success, NY 11042-1129

Mailing address

6 Ohio Dr
Suite 201
Lake Success, NY 11042-1129
Phone (516) 328-8700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkuperschmid121385@nyumc.direct-ci.com

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
I20091228000165 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8729154802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Albert Einstein College of Medicine of Yeshiva University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

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

State licenses

LicenseStateTypeSpecialty
017740NYMDClinical Psychologist
179940NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 1, 2016 Accepting new patients
New York University CurrentSince Mar 1, 2016 Accepting new patients
Booth Medical Associates PC Critical Care Medicine Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

6 Ohio Dr
Ste 201
New Hyde Park, NY 11042
Phone (516) 328-8700

360 W 31st St
Fl 3
New York, NY 10001
Phone (646) 987-3436

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

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

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 10

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1861463754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OHIO DR",
            "address_2": "SUITE 201",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421129",
            "telephone_number": "516-328-8700",
            "fax_number": "516-328-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OHIO DR",
            "address_2": "SUITE 201",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421129",
            "telephone_number": "516-328-8700",
            "fax_number": "516-328-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERSCHMID",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "179940",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "179940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkuperschmid121385@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "6 Ohio Dr",
            "address_2": "Suite 201",
            "city": "Lake Success",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.