DR. ROOSEVELT BOURSIQUOT M.D., M.PHIL
NPI 1013399872
Internal Medicine in Brooklyn, NY

Q: What is Roosevelt Boursiquot's NPI number?

The NPI number for Roosevelt Boursiquot is 1013399872. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Q: What is Roosevelt Boursiquot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment

470 CLARKSON AVE, MSC#59, BROOKLYN, NY 11203(718) 270-7207 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Jul 9, 2019, Mar 20, 2019 (3 updates tracked since 2019).

On this page

About Dr. Roosevelt Boursiquot M.d., M.phil NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROOSEVELT BOURSIQUOT M.D., M.PHIL (NPI 1013399872) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (287069) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1013399872

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ROOSEVELT BOURSIQUOTCredential: M.D., M.PHIL

Location Address470 CLARKSON AVE, MSC#59Brooklyn, NY 11203

Mailing Address121 Dekalb AveBrooklyn, NY 11201-5425 · (718) 250-6946

Phone(718) 270-7207

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJune 29, 2015

Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1013399872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 287069

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 287069 (NY)

470 CLARKSON AVE, Brooklyn, NY 11203

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-1653 · Fax (212) 289-6393

Other Identifiers 1

Medicaid05234079NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roosevelt Boursiquot M.d., M.phil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406101104

PECOS Enrollment IDI20180621000183

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,117 services431 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

174 services171 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

143 services135 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

28 services24 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330024

LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County

Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330395

Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers16 claims31 services$5.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers15 claims17 services$1.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUEL MOLL RD

Dietitian, Registered

470 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 270-3366

ZINAIDA SHIKHMAN PA

Physician Assistant

470 CLARKSON AVE, BOX 30
BROOKLYN, NY 11203

Kings County (718) 270-2047

DR. TAL AVRAHAM FLIGELMAN M.D.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

470 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203

Kings County (718) 270-2081

MELANIE ANN PETERS MD, MPH, FACOG

Obstetrics & Gynecology

470 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 270-2365

SUNY HEALTH SCIENCE CENTER AT BKLYN

Internal Medicine

470 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 270-1000

JOHN WRAY

Dietitian, Registered

470 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 270-1000

UNIVERSITY HOSPITAL OF BROOKLYN

Obstetrics & Gynecology

470 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 270-1000

MARIA ELENA GODOY SICILIANO RD, CDN

Dietitian, Registered

470 CLARKSON AVE
BROOKLYN, NY 11203

Kings County (718) 270-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Boursiquot's NPI number?

The NPI number for Roosevelt Boursiquot is 1013399872. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Roosevelt Boursiquot located?

Roosevelt Boursiquot practices at 470 Clarkson Ave Msc#59, Brooklyn, NY 11203. The listed phone number is (718) 270-7207.

What is Roosevelt Boursiquot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roosevelt Boursiquot enrolled in Medicare?

Yes. Roosevelt Boursiquot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Roosevelt Boursiquot affiliated with any hospitals?

According to CMS data, Roosevelt Boursiquot is affiliated with Mount Sinai Hospital, Staten Island University Hospital and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Roosevelt Boursiquot was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.