Pavel Groysman, D.O.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

270491 Issued in NY

Practice address

17660 Union Tpke Ste 360
Fresh Meadows, NY 11366-1531

Phone

(718) 342-3442

Fax

(347) 225-9930

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Hospice/Palliative CareAlso: Geriatric Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Care of Queens PCGroup PAC ID 2062847692, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice Care of Long Island, Queens, South Shore Hospice, Woodbury, NY, CCN 331532
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score

79.78 of 100Reported as group

Quality

48.45

Promoting interoperability

71

Improvement activities

40

Cost

77.92

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: pgroysman230521@nyumc.direct-ci.com

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.

• Medical Care of Queens, PC

  • Hematology & Oncology Physician
  • Fresh Meadows, NY
  • NPI 1225683840

  Hospice and Palliative Medicine

  Medicare reassignment Care Compare group NPD

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

• Hospice Care Network

  • Community Based Hospice Care Agency
  • Woodbury, NY
  • NPI 1013972751
  Care Compare affiliation
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1871855270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE STE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661531",
            "telephone_number": "718-342-3442",
            "fax_number": "347-225-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17660 UNION TPKE STE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661531",
            "telephone_number": "718-342-3442",
            "fax_number": "347-225-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROYSMAN",
        "first_name": "PAVEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "270491",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "270491-1",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "270491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04109615",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Grishina
• Marian Lee Gross
• William Phillip Gross, DDS
• Michelle Grossman, MS, CCC-SLP
• Grow and Thrive LLC
• Cindy Celeste Grubin, D.O.
• GS Medical Practice PLLC
• Grace Gu
• Sandra Guerra
• Neha Gulati, D.O.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.

Verify at the official NPI Registry.