DAVID WILLIAM BERREYESA POLOWAY DO
NPI 1316680911
Emergency Medicine in Flushing, NY

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment
5645 MAIN ST, FLUSHING, NY 11355(718) 670-1507 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, May 20, 2022, Apr 20, 2022 (3 updates tracked since 2022).

About David William Berreyesa Poloway Do NPPES

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

DAVID WILLIAM BERREYESA POLOWAY DO (NPI 1316680911) is an individual emergency medicine provider in Flushing, New York, licensed in New York (334696) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2022).

NPPES Registry Identity

NPI1316680911
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID WILLIAM BERREYESA POLOWAYCredential: DO
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address5645 Main StFlushing, NY 11355-5045
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2022
Enumeration DateApril 20, 2022
Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1316680911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 334696
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5645 MAIN ST, Flushing, NY 11355

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

David William Berreyesa Poloway Do 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 ID547771214
PECOS Enrollment IDI20250618003562
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.

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 David Poloway's NPI number?

The NPI number for David Poloway is 1316680911. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is David Poloway located?

David Poloway practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-1507.

What is David Poloway's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Poloway enrolled in Medicare?

Yes. David Poloway 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 David Poloway affiliated with any hospitals?

According to CMS data, David Poloway is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for David Poloway was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.