Individual provider Active NPI

Peter M. Izmirly, M.D.

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1962622456
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
226294 Issued in NY
Practice address
560 First Avenue Buyon
NYU School of Medicine/Clancy Lab TH Room 407
New York, NY 10016
Phone
(212) 263-0745
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 226294 NY Primary

Addresses

Primary practice location

560 First Avenue Buyon
NYU School of Medicine/Clancy Lab TH Room 407
New York, NY 10016

Mailing address

343 E 30TH St
Apt 12L
New York, NY 10016-6417
Phone (212) 447-4088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pizmirly23498@nyumc.direct-ci.com

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
I20160125000864 NY Practitioner - Rheumatology 0648458141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226294NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 14, 2015 Accepting new patients
New York University CurrentSince Nov 14, 2015 Accepting new patients

Locations

560 1st Ave
Rm 407
New York, NY 10016
Phone (212) 263-0745

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: pizmirly23498@nyumc.direct-ci.com
  • Direct secure messaging: pizmirly677083@nychhc.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1962622456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E 30TH ST",
            "address_2": "APT 12L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166417",
            "telephone_number": "212-447-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 FIRST AVENUE BUYON",
            "address_2": "NYU SCHOOL OF MEDICINE/CLANCY LAB TH ROOM 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZMIRLY",
        "first_name": "PETER",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "226294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pizmirly23498@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "560 First Avenue Buyon",
            "address_2": "NYU School of Medicine/Clancy LAb TH ROOM 407",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.