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DR. PETR ITZHAK D.O.
NPI 1801843412
Obstetrics & Gynecology in Glendale, NY

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
79.83/100
CMS Quality Rating
6805 MYRTLE AVE, GLENDALE, NY 11385(718) 366-2242 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Petr Itzhak D.o. NPPES

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

DR. PETR ITZHAK D.O. (NPI 1801843412) is an individual obstetrics & gynecology provider in Glendale, New York, licensed in New York (234430) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Nassau University Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2000).

NPPES Registry Identity

NPI1801843412
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. PETR ITZHAKCredential: D.O.
Location Address6805 MYRTLE AVEGlendale, NY 11385-7267
Mailing Address6805 Myrtle AveGlendale, NY 11385-7267 · (718) 366-2242
Phone(718) 366-2242
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2000
Enumeration DateMay 28, 2006
Last NPPES UpdateAugust 7, 2007
✔ NPI 1801843412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 234430
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6805 MYRTLE AVE, Glendale, NY 11385
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified813E81NY
Medicaid02669836NY

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. Petr Itzhak D.o. 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 ID3678515012
PECOS Enrollment IDI20050525001368
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.

Nassau University Medical Center

Acute Care Hospitals · East Meadow, NY
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number330027
Location2201 Hempstead TurnpikeEast Meadow, NY 11554 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

79.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.8
Promoting Interoperability86
Improvement Activities40
Cost64.21

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKHAIL GLEYZER OSTEOPATHIC FAMILY MEDICINE, PC
Family Medicine
6805 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 366-2281
COMPREHENSIVE WOMEN'S HEALTH OF N.Y. PLLC
Obstetrics & Gynecology
6805 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 366-2242

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 Petr Itzhak's NPI number?

The NPI number for Petr Itzhak is 1801843412. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Petr Itzhak located?

Petr Itzhak practices at 6805 Myrtle Ave, Glendale, NY 11385. The listed phone number is (718) 366-2242.

What is Petr Itzhak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Petr Itzhak enrolled in Medicare?

Yes. Petr Itzhak 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 Petr Itzhak affiliated with any hospitals?

According to CMS data, Petr Itzhak is affiliated with Nassau University Medical Center.

When was this NPI record last updated?

The NPPES record for Petr Itzhak was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.