Individual provider Active NPI

Mark B Panish, MD

  • Internal Medicine Physician
  • Hempstead, NY
National Provider Identifier
1962441154
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
147977 Issued in NY
Practice address
226 Clinton St
Hempstead, NY 11550-2614
Phone
(516) 483-2020
Fax
(516) 560-1895
NPI assigned
Jun 5, 2006
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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 147977 NY Primary

Addresses

Primary practice location

226 Clinton St
Hempstead, NY 11550-2614

Mailing address

441 9TH Ave
FL 3
New York, NY 10001-1623
Phone (646) 680-4692

Other identifiers 1

IdentifierTypeStateIssuer
01723115MedicaidNY

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
I20070423000062 NY Practitioner - Internal MedicinePractitioner - Family Practice 9133224025

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Health PLLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

1070 Old Country Rd
Plainview, NY 11803
Phone (516) 364-8600

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, 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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1962441154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 9TH AVE",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011623",
            "telephone_number": "646-680-4692",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CLINTON ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502614",
            "telephone_number": "516-483-2020",
            "fax_number": "516-560-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANISH",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "147977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01723115",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.