MICHAEL TREVISONNO MD
NPI 1780114124
Internal Medicine - Rheumatology in Brooklyn, NY

Active since June 18, 2017PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-4488 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2025, Mar 14, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Michael Trevisonno Md NPPES

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

MICHAEL TREVISONNO MD (NPI 1780114124) is an individual rheumatology provider in Brooklyn, New York, licensed in New York (313723) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Kings County Hospital Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780114124
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL TREVISONNOCredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012 · Fax (810) 202-7885
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 18, 2017
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1780114124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 313723
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

450 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Trevisonno Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850624271
PECOS Enrollment IDI20250718003256
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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 11203 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $154.28
  • Minimum New Patient Price $67.4
  • Maximum New Patient Price $203.53
  • Average New Patient Copayment $38.57
  • Minimum New Patient Copayment $16.85
  • Maximum New Patient Copayment $50.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $117.62
  • Minimum Established Patient Price $21.66
  • Maximum Established Patient Price $164.45
  • Average Established Patient Copayment $29.4
  • Minimum Established Patient Copayment $5.41
  • Maximum Established Patient Copayment $41.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Michael Trevisonno is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
KINGS COUNTY HOSPITAL CENTER451 CLARKSON AVENUE
BROOKLYN, NY 11203
(718) 245-3901Acute Care Hospitals

Other Providers at the Same Location


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

Urology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Dermatology
450 CLARKSON AVE, SUITE H
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Internal Medicine (Endocrinology, Diabetes & Metabolism)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Internal Medicine (Cardiovascular Disease)
450 CLARKSON AVE, 2ND FL. RM# A2-393
BROOKLYN, NY 11203
Internal Medicine (Cardiovascular Disease)
450 CLARKSON AVE, 2ND FL. RM# A2-393
BROOKLYN, NY 11203
Internal Medicine (Critical Care Medicine)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Internal Medicine (Infectious Disease)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Internal Medicine (Infectious Disease)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780114124, enumerated as an "individual" on June 18, 2017.

The provider is located at 450 CLARKSON AVE BROOKLYN, NY 11203 and the phone number is (718) 270-4488.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

Michael Trevisonno is affiliated with: KINGS COUNTY HOSPITAL CENTER.