Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790172500 Individual Practitioner Male Practitioner

Dr. Dima Raskolnikov , MD

Urology • Bronx, NY

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dima Raskolnikov, MD is a certified Urology practicing in Bronx, NY. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Raskolnikov delivers high-quality medical care to the local community at 1250 WATERS PL PH.

Dr. Raskolnikov is affiliated with Montefiore Medical Center and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 Waters Pl Ph

Bronx, NY 104612720

Telephone 7189204531

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bronx, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -14.5 yrs vs City Avg
City Avg: 25.5 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
43 Specialists

Practicing in Bronx, NY (1156 Statewide)

Telehealth Adoption Rate
23.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
89.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raskolnikov (11 Years) 11 Yrs
Bronx Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
98 65 $505.00 $114.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
85 65 $93.59 $19.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
37 37 $894.32 $159.45
99213 Established patient office or other outpatient visit, typically 15 minutes
25 22 $400.00 $77.79
52000 Diagnostic exam of bladder and urethra using an endoscope
20 15 $1830.00 $96.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
16 14 $535.00 $93.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
12 12 $2975.00 $181.22

Medical Specialties & State Licenses

CMS Verified: 2022-08-07
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NY 316573

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1790172500 (WA)

Hospital & Practice Group Affiliations

Montefiore Medical Center

111 E 210th St, Bronx, NY 104672401

Phone: 8666338255

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1215222856

Doctor of Medicine (M.D.)

NPI 1255674347

Doctor of Medicine (M.D.)

NPI 1265695035

Doctor of Medicine (M.D.)

Dr. Nitya Abraham , MD

Urology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1417152349

Doctor of Medicine (M.D.)

Jane't Simmons , NP

Nurse Practitioner - Family

NPI 1619724713

Nurse Practitioner

NPI 1740394618

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 07, 2022

Registered at 1250 WATERS PL PH, BRONX, NY 104612720 (Tel: 7189204531)

📍
Updated Business Mailing Address August 07, 2022

Registered at 1250 WATERS PL PH, BRONX, NY 104612720

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2022

Urology (License #316573 in NY)

📍
Updated Practice Location May 04, 2021

Registered at 1550 N 115TH ST, SEATTLE, WA 981338401 (Tel: 2065205000)

📍
Updated Business Mailing Address May 04, 2021

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

👤
Provider Name / Credentials Updated May 04, 2021

Recorded as DIMA RASKOLNIKOV, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Urology (License #MD60878016 in WA)

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2015

Registered at 1959 NE PACIFIC ST, BOX 356165, SEATTLE, WA 981950001 (Tel: 2065984477)

📍
Updated Business Mailing Address April 20, 2015

Registered at 815 MERCER ST, BOX 358047, SEATTLE, WA 981094714 (Tel: 2065984477)

👤
Provider Name / Credentials Updated April 20, 2015

Recorded as DIMA RASKOLNIKOV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790172500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2015
Last Update: August 07, 2022
Sole Proprietor: No

Mailing Address

1250 Waters Pl Ph

Bronx, NY 104612720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.