Tsega Denneke, MD
Individual provider Active NPI Specialist · Maspeth, NY
NPI 1902854698 · NPPES record last updated Mar 29, 2013
Key facts
- NPI
- 1902854698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 189235 (NY)
- Practice address
- 6971 Grand Ave
Maspeth, NY 11378-1825 - Phone
- (718) 507-4400
- Fax
- (718) 507-2484
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mattoo and Bhat Medical Associates, P.C.
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
- Atlantic DMS - Newtown Ave
- Atlantic DMS - Astoria 35th Ave
- Mount Sinai Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051212000441 | NY | Practitioner - Nephrology |
8921029562 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| The Mount Sinai Hospital | Current |
Accepting new patients | |
| Mount Sinai Hospital | Current |
Accepting new patients | |
| Siuc Medical PC | 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 H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- tsega.denneke.1@28308.direct.athenahealth.com
- tsegadenneke@whmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 189235 | NY | Yes |
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
Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.