DR. GILBERT ALAN ROSENBLUM M.D.
NPI 1851312383
Internal Medicine - Gastroenterology in New Hyde Park, NY

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1575 HILLSIDE AVE, SUITE 102, NEW HYDE PARK, NY 11040(516) 437-1616(516) 354-6048 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gilbert Alan Rosenblum M.d. NPPES

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

DR. GILBERT ALAN ROSENBLUM M.D. (NPI 1851312383) is an individual gastroenterology provider in New Hyde Park, New York, licensed in New York (116430) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1972).

NPPES Registry Identity

NPI1851312383
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GILBERT ALAN ROSENBLUMCredential: M.D.
Location Address1575 HILLSIDE AVE, SUITE 102New Hyde Park, NY 11040-2501
Mailing Address1575 Hillside Ave, Suite 102New Hyde Park, NY 11040-2501 · (516) 437-1616 · Fax (516) 354-6048
Fax(516) 354-6048
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1972
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 2, 2014
NPI 1851312383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 116430
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1575 HILLSIDE AVE, New Hyde Park, NY 11040

Other Identifiers 12

OtherAP428NY · Oxford
Other2C8021NY · Healthnet
Other112458161NY · 1199 National Benefit Fun
Medicare UPINB12878NY
Other112458161NY · Multiplan
Other37423NY · Vytra
Other112458161NY · Magnacare
Other31924NY · Empire Blue Shield
Other47640NY · Mdny
Other3531317001NY · Cigna
Medicare ID-Type UnspecifiedWO3751NY · Medicare
Other1359784NY · United Healthcare

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. Gilbert Alan Rosenblum 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 ID5294827614
PECOS Enrollment IDI20080228000124
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
225 services145 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
173 services118 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
69 services68 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims28 services$6.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1575 HILLSIDE AVE, STE 100
NEW HYDE PARK, NY 11040
Orthopaedic Surgery
1575 HILLSIDE AVE, STE 303
NEW HYDE PARK, NY 11040
Physical Therapist
1575 HILLSIDE AVE, SUITE 305
NEW HYDE PARK, NY 11040
Clinic/Center (Podiatric)
1575 HILLSIDE AVE, STE 104
NEW HYDE PARK, NY 11040
Psychiatry & Neurology (Psychiatry)
1575 HILLSIDE AVE
NEW HYDE PARK, NY 11040
Specialist
1575 HILLSIDE AVE, SUITE 100
NEW HYDE PARK, NY 11040
Pediatrics
1575 HILLSIDE AVE, SUITE 203
NEW HYDE PARK, NY 11040
Psychiatry & Neurology (Neurology)
1575 HILLSIDE AVE, LL#1
NEW HYDE PARK, NY 11040

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 Gilbert Rosenblum's NPI number?

The NPI number for Gilbert Rosenblum is 1851312383. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Gilbert Rosenblum located?

Gilbert Rosenblum practices at 1575 Hillside Ave Suite 102, New Hyde Park, NY 11040. The listed phone number is (516) 437-1616.

What is Gilbert Rosenblum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gilbert Rosenblum enrolled in Medicare?

Yes. Gilbert Rosenblum 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 Gilbert Rosenblum affiliated with any hospitals?

According to CMS data, Gilbert Rosenblum is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Gilbert Rosenblum was last updated on June 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.