ITAMAR NIESVIZKY-KOGAN MD
NPI 1043709348
Student in an Organized Health Care Education/Training Program in Syracuse, NY
About Itamar Niesvizky-kogan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ITAMAR NIESVIZKY-KOGAN MD (NPI 1043709348) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of Ny Upstate Medical University (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Itamar Niesvizky-kogan Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Itamar Niesvizky-kogan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYNorthwell Hospital Glen Cove
Acute Care Hospitals · Glen Cove, NYLong Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
SYRACUSE, NY 13210
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 Itamar Niesvizky-kogan's NPI number?
The NPI number for Itamar Niesvizky-kogan is 1043709348. It was assigned to this individual provider in the NPPES registry on May 2, 2018.
Where is Itamar Niesvizky-kogan located?
Itamar Niesvizky-kogan practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4570.
What is Itamar Niesvizky-kogan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Itamar Niesvizky-kogan enrolled in Medicare?
Yes. Itamar Niesvizky-kogan 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.
Which organization bills Medicare for Itamar Niesvizky-kogan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Itamar Niesvizky-kogan reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Itamar Niesvizky-kogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Itamar Niesvizky-kogan affiliated with any hospitals?
According to CMS data, Itamar Niesvizky-kogan is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove and Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Itamar Niesvizky-kogan was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Itamar Niesvizky-Kogan, MD · NPI 1043709348
Student in an Organized Health Care Education/Training Program provider in Syracuse, New York. Individual provider, active in the CMS NPPES registry since May 2, 2018.
## Identity
- **NPI:** 1043709348 (Entity type: Individual)
- **Enumerated:** May 2, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 750 E ADAMS ST, Syracuse, NY 13210-1834
- **Phone:** (315) 464-4570
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2018
## Record status
- **NPPES last updated:** May 2, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1043709348) · Data from the CMS NPPES public registry.