Individual provider Active NPI

Skender Murtezani, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1962550699
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236980 Issued in NY
Practice address
5516 Main St
Flushing, NY 11355-5098
Phone
(718) 461-3065
Fax
(718) 461-3590
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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 236980 NY Primary

Addresses

Primary practice location

5516 Main St
Flushing, NY 11355-5098

Mailing address

1434 110TH St Apt 4G
College Point, NY 11356-1445
Phone (718) 674-4646

Other identifiers 1

IdentifierTypeStateIssuer
02677530MedicaidNY

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
I20050815000251 NY Practitioner - Internal Medicine 3577593128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

19132 Northern Blvd
Flushing, NY 11358-2829
Phone (516) 302-8565

7200 Douglaston Pkwy
Little Neck, NY 11362-1941
Phone (718) 461-3065

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236980NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Memorial Hospital Medical Center CurrentSince Sep 1, 2017 Accepting new patients
Skender Murtezani, MD PLLC Internal Medicine CurrentSince Nov 19, 2009 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, P.C CurrentSince Aug 1, 2022 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Sep 1, 2017 Accepting new patients
Dr. de Cong Tran DPM. PC. Past Accepting new patients

Locations

515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600

19132 Northern Blvd
Flushing, NY 11358
Phone (516) 302-8565

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

7200 Douglaston Pkwy
Little Neck, NY 11362
Phone (516) 801-6650

1155 Northern Blvd
Ste 360
Manhasset, NY 11030
Phone (516) 390-2400

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Interoperability endpoints

  • Direct secure messaging: skm9004@direct.nyp.org
  • Direct secure messaging: smurtezani92788@direct-chsli.net

Organizations & group practices 7

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 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1962550699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 110TH ST APT 4G",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561445",
            "telephone_number": "718-674-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555098",
            "telephone_number": "718-461-3065",
            "fax_number": "718-461-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTEZANI",
        "first_name": "SKENDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02677530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.