Individual provider Active NPI

Paul Mario Mignone, MD

  • Ophthalmology Physician
  • Mount Vernon, NY
National Provider Identifier
1891942926
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
249133 Issued in NY
Practice address
202 Stevens Ave
Mount Vernon, NY 10550-2534
Phone
(914) 664-6001
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 249133 NY Primary

Addresses

Primary practice location

202 Stevens Ave
Mount Vernon, NY 10550-2534

Mailing address

202 Stevens Ave
Mount Vernon, NY 10550-2534

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
I20100720000801 NY Practitioner - Ophthalmology 1951433309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

664 Stoneleigh Ave
Carmel, NY 10512-3940
Phone (845) 279-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249133NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mignone Medical Eye Care, P.C. Ophthalmology CurrentSince Aug 31, 2010 Accepting new patients
Optum Medical Care, P.C. CurrentSince Mar 7, 2022 Accepting new patients
Mignone Medical Eye Care, P.C. Ophthalmology CurrentSince Aug 31, 2010 Accepting new patients
Optum Medical Care, P.C. CurrentSince Mar 7, 2022 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

292 Katonah Ave
Unit 841
Katonah, NY 10536

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

202 Stevens Ave
Mount Vernon, NY 10550
Phone (914) 237-2002

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: pmignone143301@direct.optum.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1891942926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502534",
            "telephone_number": "914-664-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNONE",
        "first_name": "PAUL",
        "middle_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "249133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.