Dr Donald Irving Baumstein, MD - Medicare Nephrology in New York, NY

Dr Donald Irving Baumstein, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New York, New York. He went to Boston University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Metropolitan Medical Practice Plan Pc and his current practice location is 1901 1st Ave, Room 14-a-3, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 423-6401.

Dr Donald Irving Baumstein is licensed to practice in New York (license number 160325) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902974447.

Contact Information

Dr Donald Irving Baumstein, MD
1901 1st Ave, Room 14-a-3,
New York, NY 10029-7404
(212) 423-6401
(212) 423-7923

Map and Direction




Physician's Profile

Full NameDr Donald Irving Baumstein
GenderMale
SpecialityNephrology
Experience7 Years
Location1901 1st Ave, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Donald Irving Baumstein attended and graduated from Boston University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1902974447
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113043084
  • Enrollment ID: I20100928001367

Medical Identifiers

Medical identifiers for Dr Donald Irving Baumstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902974447NPI-NPPES
01037338MedicaidNY
160325OtherNYSTATE LISCENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 160325 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Metropolitan Hospital CenterNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metropolitan Medical Practice Plan Pc8022286384212

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donald Irving Baumstein allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Donald Irving Baumstein is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Donald Irving Baumstein, MD
174 Elm St,
Tenafly, NJ 07670-3039

Ph: (201) 894-5388
Dr Donald Irving Baumstein, MD
1901 1st Ave, Room 14-a-3,
New York, NY 10029-7404

Ph: (212) 423-6401

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.