Providers

NEW DORP MEDICAL PC

NPI 1235336561, organization, Staten Island, NY, Internal Medicine

1
Evidence tier
documented action, then payment
  • Listed on the NY Medicaid exclusion list since November 28, 2017.
  • Medicaid still paid claims in 3 later months, $13,936 in total.
score 94 of 100, rank 263, $14K at stake

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
NY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedNov 28, 2017still open3Jan 2018Mar 2018$14K$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameNEW DORP MEDICAL PC
TypeOrganization
StatusActive
NPI issuedJune 29, 2007, last updated February 4, 2011
Practice location4247 RICHMOND AVE, Staten Island, NY 10312-6220, 718-605-4000
Authorized officialAHMED ELSOURY (Sole Owner)
Specialties
Internal Medicine (207R00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$7K50%$102$60 (top 5% from $133)too few months to rank
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$6K41%$92$44 (top 5% from $110)too few months to rank
96372Injection of drug or substance under skin or into muscle$1K8%$26$12 (top 5% from $49)too few months to rank
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg$660%$2.28$1.18 (top 5% from $5.70)too few months to rank

In this area

9 providers in Richmond County, NY carry an indicator in the public record, with $22.0M at stake between them. The most common is more hours than a day holds, on 9 of them.

tierproviderat stakewhy
4JOEL IDOWU
Staten Island, NY, ranked 7482
$4.3M
  • Hours beyond a day in 8 months, but with up to 770 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4STAVROS SNYDER
Staten Island, NY, ranked 9280
$399K
  • Hours beyond a day in 1 month, but with up to 2517 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
4YEHIA OSMAN
Staten Island, NY, ranked 9363
$296K
  • Hours beyond a day in 2 months, but with up to 1622 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5ANNA MARIE DORELIEN
Staten Island, NY, ranked 10490
$5.7M
  • 89% of Medicaid dollars are on codes with a history of abuse.
5MINI VERTER
Staten Island, NY, ranked 10674
$7.9M
5DENIZ CEREB
Staten Island, NY, ranked 10730
$3.3M
5CHAITALI KHAIRE
Staten Island, NY, ranked 11729
$58K
5ELLIS ENABOSI
Staten Island, NY, ranked 11777
$44K
All 9 in NY

Recent enforcement in NY

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.