Active NPI
Evgeny V Pinelis, MD
- Critical Care Medicine (Internal Medicine) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 264553
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025 - Phone
- (212) 523-4000
- NPI assigned
- Jan 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 264553 | NY | Primary |
| Pulmonary Disease Physician | 207RP1001X | 264553 | NY |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025
Mailing address
1 Gustave L Levy PL # 3000
New York, NY 10029-6504
Phone (212) 987-3100
Other practice location 1
1400 Pelham Pkwy S
building 1 fifth floor pulmonary
Bronx, NY 10461-1138
Phone (718) 918-4505
Other practice location 2
1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
Hospital & facility affiliations
- Brooklyn Hospital Center - Downtown Campus
- Jacobi Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264553 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Critical Care Physician of New York PC | Critical Care Medicine | Current | Accepting new patients |
| TBHC Physician Services PC | Pulmonary Disease | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Critical Care Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| The Brooklyn Hospital Center | Past | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- epinelis840944@nychhc.direct-ci.com
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Newburgh, NY
- NPI 1316293954
-
- Pediatrics Physician
- New York, NY
- NPI 1275802811
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1518228550
Critical Care Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1962689109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 3000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-987-3100",
"fax_number": "212-731-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-523-4000"
}
],
"practiceLocations": [
{
"address_1": "1400 Pelham Pkwy S",
"address_2": "building 1 fifth floor pulmonary",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611138",
"country_code": "US",
"telephone_number": "718-918-4505",
"fax_number": "718-918-4510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 10th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191147",
"country_code": "US",
"telephone_number": "212-523-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINELIS",
"first_name": "EVGENY",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-30",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "264553",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "264553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.