Individual provider Active NPI

Donald John Palmadessa, M.D.

  • Specialist
  • Douglaston, NY
National Provider Identifier
1942220199
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
24102 Northern Blvd
1St Floor
Douglaston, NY 11362-1061
Phone
(718) 461-0163
Fax
(718) 358-5570
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

24102 Northern Blvd
1St Floor
Douglaston, NY 11362-1061

Mailing address

24102 Northern Blvd
1St Floor
Douglaston, NY 11362-1061
Phone (718) 461-0163

Other identifiers 1

IdentifierTypeStateIssuer
00847576MedicaidNY

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
I20090306000300 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7810948486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy162
Upper gastrointestinal (GI) endoscopy for acid reflux75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Feb 16, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 16, 2021 Accepting new patients
TJH Medical Services, P.C. PastSince Oct 3, 2010 Accepting new patients
Douglaston Endoscopy Obs PC PastSince Aug 1, 2007 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: donaldpalmadessa@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1942220199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24102 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621061",
            "telephone_number": "718-461-0163",
            "fax_number": "718-358-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24102 NORTHERN BLVD",
            "address_2": "1ST FLOOR",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621061",
            "telephone_number": "718-461-0163",
            "fax_number": "718-358-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMADESSA",
        "first_name": "DONALD",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglaston, NY

Sources for this page

Verify at the official NPI Registry.