Taras Vysotskyy

Primary specialty

PodiatristTaxonomy code 213E00000X

License

005677 Issued in NY

Practice address

45 Richmond Blvd
Unit 2a
Ronkonkoma, NY 11779-3622

Phone

(516) 695-0112

NPI assigned

Aug 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis J. Sims, DPM P.C.Group PAC ID 6406754688, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
• Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Merit-based Incentive Payment System (MIPS)

Final score

91.75 of 100Reported as individual

Quality

70.61

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lewis J Sims DPM P.C.

  • Podiatrist
  • Poughkeepsie, NY
  • NPI 1639179294
  Medicare reassignment Care Compare group NPD
• Bryan R. Kolber

  • Durable Medical Equipment & Medical Supplies
  • New Paltz, NY
  • NPI 1356526842
  NPD (past)
• Lewis J Sims DPM P.C.

  • Podiatrist
  • Poughkeepsie, NY
  • NPI 1043795396
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vassar Brothers Hospital

  • General Acute Care Hospital
  • Poughkeepsie, NY
  • NPI 1740233899
  Care Compare affiliation
• Vassar Brothers Medical Center

  • Clinical Medical Laboratory
  • Poughkeepsie, NY
  • NPI 1780052514

  Hospital

  Care Compare affiliation
• Westchester County Health Care Corporation

  • General Acute Care Hospital
  • Valhalla, NY
  • NPI 1932280666
  Care Compare affiliation

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1962810036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RICHMOND BLVD",
            "address_2": "UNIT 2A",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793622",
            "telephone_number": "516-695-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RICHMOND BLVD",
            "address_2": "UNIT 2A",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793622",
            "telephone_number": "516-695-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYSOTSKYY",
        "first_name": "TARAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Von Gerichten, RN
• Dhannie Vorbe, RPA-C
• Vra Mental Health Counseling PLLC
• Anthony Vultaggio
• Cerissa Vultaggio, LMHC
• Ashley Rose Waldvogel, M.S. CCC-SLP, TSSLD
• Briana Walker
• John Wallman, DC
• Corinna Walsh
• Patricia C. Walter, M.S.

• Podiatrist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.

Verify at the official NPI Registry.