Individual provider Active NPI

Walter Hyunmin Choi, M.D.

  • Radiation Oncology Physician
  • Flushing, NY
National Provider Identifier
1871700500
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
230850-1 Issued in NY
Practice address
15806 Northern Blvd
Flushing, NY 11358-1641
Phone
(718) 445-3700
Fax
(718) 460-4051
NPI assigned
May 16, 2007
Last updated
Dec 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 230850-1 NY Primary

Addresses

Primary practice location

15806 Northern Blvd
Flushing, NY 11358-1641

Mailing address

PO Box 30235
Los Angeles, CA 90030-0235
Phone (718) 445-3700

Other identifiers 1

IdentifierTypeStateIssuer
02906325MedicaidNY

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
I20070917000652 NY Practitioner - Radiation Oncology 4183718448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
State University of New York Downstate Medical Center, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

181 N Belle Mead Rd
East Setauket, NY 11733-3495
Phone (631) 246-5860

2330 Eastchester Rd
Bronx, NY 10469-5930
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230850NYMDSchool Registered Nurse
230850-1NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Radiation Oncology PC Radiation Oncology CurrentSince Nov 3, 2016 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Sep 1, 2023 Accepting new patients
B I Radiation Oncology Associates Past Accepting new patients
Northern Boulevard Radiation Oncology LLP Radiation Oncology Past Accepting new patients

Locations

2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200

2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800

15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688

5925 Kissena Blvd
Flushing, NY 11355
Phone (718) 280-9788

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

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

Organizations & group practices 5

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1871700500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30235",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900300235",
            "telephone_number": "718-445-3700",
            "fax_number": "718-460-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15806 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581641",
            "telephone_number": "718-445-3700",
            "fax_number": "718-460-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "WALTER",
        "middle_name": "HYUNMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "230850-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02906325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.