Individual provider Active NPI

D'Artagnan Debow, M.D.

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1942568639
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
287513-1 Issued in NY
Practice address
141 7TH Ave Apt 3
Brooklyn, NY 11215-2270
Phone
(212) 203-6171
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 287513-1 NY Primary

Addresses

Primary practice location

141 7TH Ave Apt 3
Brooklyn, NY 11215-2270

Mailing address

30 Quintard St
Staten Island, NY 10305-2534
Phone (212) 203-6171

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170803000709 NY Practitioner - General Surgery 0042581431 Reassigns benefits to 1 organization
I20221130001351 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 0042581431 Reassigns benefits to 2 organizations
I20221130002068 TX Practitioner - General Surgery 0042581431 Reassigns benefits to 1 organization
I20240123000771 CA Practitioner - Internal Medicine 0042581431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HP Intensivist Medical Group, IncGroup PAC ID 2062806128, 16 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (310) 698-5452

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287513-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 10, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 10, 2023 Accepting new patients
HP Intensivist Medical Group, Inc CurrentSince Aug 10, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Aug 1, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Aug 1, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 26, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Ccmma Ca PC Surgery CurrentSince Jul 14, 2022 Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

400 Kelby St
Fl 11
Fort Lee, NJ 07024

622 W 168th St
#14C
New York, NY 10032

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

1150 Saint Nicholas Ave
New York, NY 10032
Phone (212) 304-5494

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1942568639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 QUINTARD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052534",
            "telephone_number": "212-203-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 7TH AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152270",
            "telephone_number": "212-203-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOW",
        "first_name": "D'ARTAGNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "287513-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4733 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.