1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Urology
  6. NPI Profile

DR. DIMA RASKOLNIKOV MD
NPI 1790172500
Urology in Bronx, NY

Active since April 20, 2015PECOS Enrolled
100/100
CMS Quality Rating
1250 WATERS PL PH, BRONX, NY 10461(718) 920-4531 Get Directions Write a Review

NPPES record last updated: August 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2022, May 4, 2021 (2 updates tracked since 2021).

About Dr. Dima Raskolnikov Md NPPES

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

DR. DIMA RASKOLNIKOV MD (NPI 1790172500) is an individual urology provider in Bronx, New York, licensed in New York (316573) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790172500
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DIMA RASKOLNIKOVCredential: MD
Location Address1250 WATERS PL PHBronx, NY 10461-2720
Mailing Address1250 Waters Pl PhBronx, NY 10461-2720
Phone(718) 920-4531
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 20, 2015
Last NPPES UpdateAugust 7, 20222 updates tracked since enumeration
NPPES CertifiedAugust 7, 2022
✔ NPI 1790172500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 316573
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1250 WATERS PL PH, Bronx, NY 10461
Open in Google Maps ↗

Other Identifiers 1

Medicaid1790172500WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dima Raskolnikov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719290246
PECOS Enrollment IDI20230106002309
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services22 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
20 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services14 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Dima Raskolnikov's NPI number?

The NPI number for Dima Raskolnikov is 1790172500. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Dima Raskolnikov located?

Dima Raskolnikov practices at 1250 Waters Pl Ph, Bronx, NY 10461. The listed phone number is (718) 920-4531.

What is Dima Raskolnikov's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Dima Raskolnikov enrolled in Medicare?

Yes. Dima Raskolnikov is registered in the Medicare PECOS enrollment system.

Is Dima Raskolnikov affiliated with any hospitals?

According to CMS data, Dima Raskolnikov is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Dima Raskolnikov was last updated on August 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.