Individual provider Active NPI

Vanessa Nicola Dinnall, M.D.

  • Obstetrics & Gynecology Physician
  • Sleepy Hollow, NY
National Provider Identifier
1922009513
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
228585-1 Issued in NY
Practice address
755 N Broadway
Suite 560, Sleepy Hollow Medical Group
Sleepy Hollow, NY 10591-1075
Phone
(914) 631-0337
Fax
(914) 631-0552
NPI assigned
Aug 3, 2005
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 228585-1 NY Primary

Addresses

Primary practice location

755 N Broadway
Suite 560, Sleepy Hollow Medical Group
Sleepy Hollow, NY 10591-1075

Mailing address

755 N Broadway
Suite 560, Sleepy Hollow Medical Group
Sleepy Hollow, NY 10591-1075
Phone (914) 631-0337

Other identifiers 1

IdentifierTypeStateIssuer
01570034MedicaidNY

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
I20040430000095 NY Practitioner - Obstetrics/Gynecology 7012904006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228585-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Obstetrics & Gynecology CurrentSince Nov 26, 2018 Accepting new patients
Phelps Memorial Hospital Association CurrentSince Jun 1, 2009 Accepting new patients
Open Door Family Medical Center Inc Current Accepting new patients
Phelps Memorial Hospital Association CurrentSince Jun 1, 2009 Accepting new patients
Open Door Family Medical Center, Inc. CurrentSince Dec 9, 2022 Accepting new patients
Phelps Memorial Hospital Association Current Accepting new patients
Open Door Family Medical Center Inc CurrentSince Dec 9, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 26, 2018 Accepting new patients
St Lukes Roosevelt Hospital Center Obstetrics & Gynecology Past Accepting new patients
Open Door Family Medical Center, Inc. Past Accepting new patients
St Lukes Roosevelt Community Care Obstetrics & Gynecology Past Accepting new patients
Phelps Memorial Hospital Association Past Accepting new patients

Locations

775 Park Ave
Ste 355
Huntington, NY 11743
Phone (631) 271-5757

300 Community Dr
Manhasset, NY 11030

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

362 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 269-1740

362 N Broadway
Ste 2
Sleepy Hollow, NY 10591
Phone (914) 631-2070

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

755 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 302-0100

755 N Broadway
Fl 5
Sleepy Hollow, NY 10591
Phone (914) 366-3134

755 N Broadway
Ste 560
Sleepy Hollow, NY 10591
Phone (914) 366-5400

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA
  • Direct secure messaging: vanessadinnall@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: vdinnall67288@northwell.direct-ci.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1922009513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY",
            "address_2": "SUITE 560, SLEEPY HOLLOW MEDICAL GROUP",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911075",
            "telephone_number": "914-631-0337",
            "fax_number": "914-631-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N BROADWAY",
            "address_2": "SUITE 560, SLEEPY HOLLOW MEDICAL GROUP",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911075",
            "telephone_number": "914-631-0337",
            "fax_number": "914-631-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNALL",
        "first_name": "VANESSA",
        "middle_name": "NICOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "228585-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01570034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.