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DR. THOMAS PATRICK MCGOVERN M.D.
NPI 1174529168
Specialist in New York, NY

Active since June 23, 2005Opted out of Medicare · through Feb 15, 2028
927 5TH AVE, NEW YORK, NY 10021(212) 772-7411(212) 737-6600 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thomas Patrick Mcgovern M.d. NPPES

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

DR. THOMAS PATRICK MCGOVERN M.D. (NPI 1174529168) is an individual specialist in New York, New York, licensed in New York (128347) and active in the NPI registry since June 2005. He has opted out of Medicare through February 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174529168
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. THOMAS PATRICK MCGOVERNCredential: M.D.
Location Address927 5TH AVENew York, NY 10021-2650
Mailing Address927 5th AveNew York, NY 10021-2650 · (212) 772-7411 · Fax (212) 737-6600
Phone(212) 772-7411
Fax(212) 737-6600
Sole ProprietorYes
Enumeration DateJune 23, 2005
Last NPPES UpdateJune 10, 2008
✔ NPI 1174529168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 128347
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

927 5TH AVE, New York, NY 10021
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Other Identifiers 2

Medicare UPINB13359NY
Medicare ID-Type Unspecified34A641NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Patrick Mcgovern M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2016 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2016
Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

927 5TH OBS LLC
Clinic/Center (Ambulatory Surgical)
927 5TH AVE
NEW YORK, NY 10021
New York County (212) 249-7900
DR. CHRISTOPHER TAE-KYUNG CHIA M.D.
Plastic Surgery
927 5TH AVE
NEW YORK, NY 10021
New York County (212) 517-6767

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 Thomas Mcgovern's NPI number?

The NPI number for Thomas Mcgovern is 1174529168. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Thomas Mcgovern located?

Thomas Mcgovern practices at 927 5th Ave, New York, NY 10021. The listed phone number is (212) 772-7411.

What is Thomas Mcgovern's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Thomas Mcgovern enrolled in Medicare?

No. Thomas Mcgovern has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Mcgovern was last updated on June 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.