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DR. DMITRY LISENENKOV M.D.
NPI 1679736953
Anesthesiology - Critical Care Medicine in Staten Island, NY

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
475 SEAVIEW AVE, CARDIOTHORACIC ICU, STATEN ISLAND, NY 10305(718) 775-7770 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2024, Feb 13, 2020 (2 updates tracked since 2020).

About Dr. Dmitry Lisenenkov M.d. NPPES

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

DR. DMITRY LISENENKOV M.D. (NPI 1679736953) is an individual critical care medicine provider in Staten Island, New York, licensed in New Jersey (25MA11111600) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679736953
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDR. DMITRY LISENENKOVCredential: M.D.
Location Address475 SEAVIEW AVE, CARDIOTHORACIC ICUStaten Island, NY 10305
Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 775-7770
Phone(718) 775-7770
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 7, 2008
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1679736953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in NJ · 25MA11111600
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 249407 (NY)
475 SEAVIEW AVE, Staten Island, NY 10305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida.Insurance ›

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. Dmitry Lisenenkov M.d. 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 ID8820147721
PECOS Enrollment IDI20211109003079
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
524 services137 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.
44 services30 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
23 services16 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

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 Dmitry Lisenenkov's NPI number?

The NPI number for Dmitry Lisenenkov is 1679736953. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Dmitry Lisenenkov located?

Dmitry Lisenenkov practices at 475 Seaview Ave Cardiothoracic Icu, Staten Island, NY 10305. The listed phone number is (718) 775-7770.

What is Dmitry Lisenenkov's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Dmitry Lisenenkov enrolled in Medicare?

Yes. Dmitry Lisenenkov 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.

What insurance does Dmitry Lisenenkov accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Health Maintenance Organization of Florida list Dmitry Lisenenkov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dmitry Lisenenkov affiliated with any hospitals?

According to CMS data, Dmitry Lisenenkov is affiliated with Newark Beth Israel Medical Center and Raritan Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Dmitry Lisenenkov was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.