Individual provider Active NPI

Tsega Denneke, MD

  • Specialist
  • Maspeth, NY
National Provider Identifier
1902854698
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
189235 Issued in NY
Practice address
6971 Grand Ave
Maspeth, NY 11378-1825
Phone
(718) 507-4400
Fax
(718) 507-2484
NPI assigned
May 4, 2006
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 189235 NY Primary

Addresses

Primary practice location

6971 Grand Ave
Maspeth, NY 11378-1825

Mailing address

2314 College Point Blvd
College Point, NY 11356-2526
Phone (347) 312-3041

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
I20051212000441 NY Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 8921029562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattoo and Bhat Medical Associates, P.C.Group PAC ID 2961393012, 6 clinicians

Practice addresses (Care Compare)

2920 Newtown Ave
Astoria, NY 11102-2129
Phone (718) 899-0060

385 Seneca Ave
Ridgewood, NY 11385-1340
Phone (718) 899-0060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Mount Sinai Hospital CurrentSince May 5, 2017 Accepting new patients
Siuc Medical PC CurrentSince Mar 1, 2022 Accepting new patients
Mount Sinai Hospital CurrentSince May 5, 2017 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients

Locations

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

Networks

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

Interoperability endpoints

  • Direct secure messaging: tsega.denneke.1@28308.direct.athenahealth.com
  • Direct secure messaging: tsegadenneke@whmc.allscriptsdirect.net

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.

Hospital & facility affiliations 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1902854698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562526",
            "telephone_number": "347-312-3041",
            "fax_number": "718-661-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781825",
            "telephone_number": "718-507-4400",
            "fax_number": "718-507-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEKE",
        "first_name": "TSEGA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "189235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.