Individual provider Active NPI

Sandeep Mehrishi, M.D.

  • Pulmonary Disease Physician
  • Bellerose, NY
National Provider Identifier
1992764997
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
241650 Issued in NY
Practice address
250-12 Hillside Avenue
Suite B
Bellerose, NY 11426-2139
Phone
(718) 347-0411
Fax
(718) 347-0455
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 174521 NY
Pulmonary Disease Physician 207RP1001X 241650 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 241650 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 241650 NY
Internal Medicine Physician 207R00000X 241650 NY

Addresses

Primary practice location

250-12 Hillside Avenue
Suite B
Bellerose, NY 11426-2139

Mailing address

65-11 Booth Street
Suite 1C
Rego Park, NY 11374-4184
Phone (718) 806-1434

Other identifiers 1

IdentifierTypeStateIssuer
02228408MedicaidNY

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
I20070606000047 NY Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4880792407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care and Sleep Medicine of Nassau PCGroup PAC ID 7113110651, 2 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 347-0411

26808 Union Tpke
Glen Oaks, NY 11004-1351
Phone (718) 347-0411

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 347-0411

300 Community Dr
Manhasset, NY 11030-3816
Phone (718) 347-0411

330 Community Dr
Manhasset, NY 11030-3816
Phone (718) 347-0411

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
99.14 of 100Reported as individual
Quality
89.3
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001250NYMDMarriage & Family Therapist
241650NYMDCritical Care Medicine (Internal Medicine) Physician
174521NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care & Sleep Medicine of Nassau P.C. Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Olshanetskiy and Goutos Medicine, PC Pulmonary Disease Past Accepting new patients
Rego Park Sleep and Asthma PC Internal Medicine PastSince Jun 1, 2007 Accepting new patients

Locations

25012 Hillside Ave
Ste B
Bellerose, NY 11426
Phone (718) 343-7600

200 Broadway
Slp Med
Brooklyn, NY 11211

35 Spencer St
Ste 200
Brooklyn, NY 11205

200 Broadway
Brooklyn, NY 11211

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1992764997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-11 BOOTH STREET",
            "address_2": "SUITE 1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744184",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250-12 HILLSIDE AVENUE",
            "address_2": "SUITE B",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262139",
            "telephone_number": "718-347-0411",
            "fax_number": "718-347-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRISHI",
        "first_name": "SANDEEP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "174521",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "241650",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "241650",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "241650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02228408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.