Individual provider Active NPI

Michael Opiniano Urban, PT

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1871694737
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021456 Issued in NY
Practice address
14021 32ND Ave
Suite C1
Flushing, NY 11354-2613
Phone
(718) 224-1600
Fax
(718) 224-8085
NPI assigned
Sep 25, 2006
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021456 NY Primary

Addresses

Primary practice location

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613

Mailing address

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613
Phone (718) 224-1600

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009000125 NY Practitioner - Physical Therapist in Private Practice 9234359522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Star Physician LLCGroup PAC ID 7012152408, 3 clinicians

Practice addresses (Care Compare)

14021 32ND Ave
Suite C1
Flushing, NY 11354-2645
Phone (718) 224-1600

Merit-based Incentive Payment System (MIPS)

Final score
98.18 of 100Reported as group
Quality
95.45
Promoting interoperability
99
Improvement activities
40
Cost
82.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021456NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Star Physician, LLC CurrentSince Feb 20, 2012 Accepting new patients

Locations

14021 32nd Ave
Ste C1
Flushing, NY 11354
Phone (718) 224-1600

Interoperability endpoints

  • Direct secure messaging: michael.urban.1@14966.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1871694737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "MICHAEL",
        "middle_name": "OPINIANO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.