Individual provider Active NPI

Dutsi Behm, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1982780078
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154960 Issued in NY
Practice address
421 Ocean Pkwy
2ND Floor
Brooklyn, NY 11218-5118
Phone
(718) 438-8585
NPI assigned
Oct 31, 2006
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 154960 NY Primary

Addresses

Primary practice location

421 Ocean Pkwy
2ND Floor
Brooklyn, NY 11218-5118

Mailing address

421 Ocean Pkwy
2ND Floor
Brooklyn, NY 11218-5118
Phone (718) 438-8585

Other identifiers 1

IdentifierTypeStateIssuer
00775737MedicaidNY

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
I20040831001375 NY Practitioner - Internal Medicine 9739154956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fedir Ilnitskyy MD PCGroup PAC ID 4789945130, 2 clinicians
Dutsi a Behm Physician PCGroup PAC ID 5092762476, 2 clinicians

Practice addresses (Care Compare)

421 Ocean Pkwy
Suite 2a
Brooklyn, NY 11218-5118
Phone (718) 438-8585

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Dutsi a Behm Physician, PC Internal Medicine CurrentSince Apr 15, 2004 Accepting new patients

Locations

421 Ocean Pkwy
Ste 2A
Brooklyn, NY 11218
Phone (718) 375-3900

Networks

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

Interoperability endpoints

  • Direct secure messaging: dub9002@direct.nyp.org
  • Direct secure messaging: dutsibehm@mai.allscriptsdirect.net

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1982780078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OCEAN PKWY",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185118",
            "telephone_number": "718-438-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 OCEAN PKWY",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185118",
            "telephone_number": "718-438-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHM",
        "first_name": "DUTSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00775737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.