ICILMA FERGUS M.D. NPI 1699745075

Internal Medicine (Cardiovascular Disease) in New York, NY

NPI 1699745075 Individual Female Years of Experience 30 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

About ICILMA FERGUS

Icilma Fergus is an internal medicine provider established in New York, New York and her medical specialization is internal medicine (cardiovascular disease) with more than 30 years of experience. She graduated from State University Of New York Downstate Medical Center in 1992. The NPI number of Icilma Fergus is 1699745075 and was assigned on January 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 206086 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

An internist like Icilma Fergus M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Icilma Fergus is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Icilma Fergus is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Mount Sinai Hospital.

NPI

1699745075

Provider Name ICILMA FERGUS M.D.
Provider Location Address5 E 98TH ST 3RD FLOOR NEW YORK, NY 10029
Provider Mailing Address5 E 98TH ST 3RD FLOOR NEW YORK, NY 10029
GenderFemale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year1992
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-26-2006
Last Update Date05-26-2011


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.206086
License StateNY
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

ICILMA FERGUS M.D.
5 E 98TH ST
3RD FLOOR
NEW YORK, NY
ZIP 10029
Phone: (212) 427-1540
Fax: (212) 876-1493

Get Directions


Mailing Address

ICILMA FERGUS M.D.
5 E 98TH ST
3RD FLOOR
NEW YORK, NY
ZIP 10029
Phone: (212) 427-1540
Fax: (212) 876-1493



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8224093729
PECOS Enrollment IDI20041123001315
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 734Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 33Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Icilma Fergus is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MOUNT SINAI HOSPITALONE GUSTAVE L LEVY PLACE
NEW YORK, NY 10029
(212) 241-7981Acute Care Hospitals330024

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H00868MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154324226 WALEED A HASSEN M.D.
Individual
Specialist5 E 98TH ST FL 6
NEW YORK, NY 10029
(212) 241-4812
1528061686 MICHAEL J DROLLER M.D.
Individual
Specialist5 E 98TH ST FL 6
NEW YORK, NY 10029
(212) 241-4812
1679576110 MICHAEL A PALESE M.D.
Individual
Specialist5 E 98TH ST FL 6
NEW YORK, NY 10029
(212) 241-4812
1427051762DR. MICHAEL BENJAMIN EDYE MD
Individual
Surgery5 E 98TH ST BOX 1259
NEW YORK, NY 10029
(212) 241-6591
1851390173 DONNA J GAGLIUSO MD
Individual
Ophthalmology5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-0939
1588665889 VALENTIN FUSTER MD
Individual
Internal Medicine (Cardiovascular Disease)5 E 98TH ST 3RD FLOOR
NEW YORK, NY 10029
(212) 241-7911
1891788931 ALAN GARELY MD
Individual
Obstetrics & Gynecology5 E 98TH ST BOX 1174
NEW YORK, NY 10029
(212) 241-7952
1013902444DR. MARK LEBWOHL
Individual
Dermatology5 E 98TH ST 5TH FLOOR BOX 1048
NEW YORK, NY 10029
(212) 241-5778
1124013248DR. MARSHA GORDON
Individual
Dermatology5 E 98TH ST 5TH FLOOR BOX 1048
NEW YORK, NY 10029
(212) 241-8234
1447245303 KISHORE IYER MD
Individual
Transplant Surgery5 E 98TH ST 12TH FL
NEW YORK, NY 10029
(212) 659-9300
1568433803DR. FRED LUBLIN M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 1ST FLOOR
NEW YORK, NY 10029
(212) 241-6854
1730150947DR. BETTY MINTZ M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1831160092DR. WINONA TSE M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST FIRST FLOOR
NEW YORK, NY 10029
(212) 241-7076
1316918592DR. DAVID SIMPSON M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1447221551DR. JESSE WEINBERGER M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1568433613DR. JOAN BOROD PH.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1134190291DR. HORACIO KAUFMANN M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1619948783DR. MIODRAG VELICKOVIC M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST FIRST FLOOR
NEW YORK, NY 10029
(212) 241-7076
1407827546DR. STEVEN LEVINE M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST 7TH FLOOR
NEW YORK, NY 10029
(212) 241-7076
1598736811DR. AARON MILLER M.D.
Individual
Psychiatry & Neurology (Neurology)5 E 98TH ST FIRST FLOOR
NEW YORK, NY 10029
(212) 241-7958

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.