Individual provider Active NPI

David Urius Himmelstein, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1902897291
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50182 Issued in MA
Practice address
255 W 90TH St
12A
New York, NY 10024-1109
Phone
(212) 289-0630
Fax
(212) 722-7150
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50182 MA Primary

Addresses

Primary practice location

255 W 90TH St
12A
New York, NY 10024-1109

Mailing address

255 W 90TH St
12A
New York, NY 10024-1109
Phone (212) 289-0630

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
I20160527001048 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2163478413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50182MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Past Accepting new patients

Organizations & group practices 1

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1902897291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 90TH ST",
            "address_2": "12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241109",
            "telephone_number": "212-289-0630",
            "fax_number": "212-722-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 90TH ST",
            "address_2": "12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241109",
            "telephone_number": "212-289-0630",
            "fax_number": "212-722-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELSTEIN",
        "first_name": "DAVID",
        "middle_name": "URIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "50182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.