NPIMap

Individual provider Active NPI

Peteris E Dzenis, M.D.

  • Specialist
  • Flushing, NY
National Provider Identifier
1982637898
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
154791-1 Issued in NY
Practice address
5510 Main St
Flushing, NY 11355-5050
Phone
(718) 463-9220
Fax
(718) 463-9214
NPI assigned
Jul 7, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 154791-1 NY Primary

Addresses

Primary practice location

5510 Main St
Flushing, NY 11355-5050

Mailing address

5510 Main St
Flushing, NY 11355-5050
Phone (718) 463-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000974 NY Practitioner - Orthopedic Surgery 0648168476 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5510 Main St
Flushing, NY 11355-5071
Phone (718) 463-9220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
2.04 of 100Reported as individual
Quality
4.08
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154791-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jun 17, 2017 Accepting new patients
Newyork-Presbyterian/Queens CurrentSince Mar 16, 2009 Accepting new patients
Emusc, LLC CurrentSince Sep 1, 2018 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Mar 16, 2009 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jun 17, 2017 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ped9022@direct.nyp.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1982637898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555050",
            "telephone_number": "718-463-9220",
            "fax_number": "718-463-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555050",
            "telephone_number": "718-463-9220",
            "fax_number": "718-463-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZENIS",
        "first_name": "PETERIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "154791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.