JILL FETELL MD
NPI 1013072404
Internal Medicine in Pomona, NY
About Jill Fetell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL FETELL MD (NPI 1013072404) is an individual internal medicine provider in Pomona, New York, licensed in New York (145931) and active in the NPI registry since December 2006. She has opted out of Medicare through January 20, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jill Fetell Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 20, 2017 through January 20, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POMONA, NY 10970
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 Jill Fetell's NPI number?
The NPI number for Jill Fetell is 1013072404. It was assigned to this individual provider in the NPPES registry on December 26, 2006.
Where is Jill Fetell located?
Jill Fetell practices at 26 Firemans Memorial Dr Suite 115, Pomona, NY 10970. The listed phone number is (845) 362-8400.
What is Jill Fetell's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jill Fetell enrolled in Medicare?
No. Jill Fetell has opted out of Medicare through January 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jill Fetell was last updated on July 8, 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.
# Jill Fetell, MD · NPI 1013072404
Internal Medicine physician in Pomona, New York. Individual provider, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1013072404 (Entity type: Individual)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 145931 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 26 FIREMANS MEMORIAL DR, SUITE 115, Pomona, NY 10970-3553
- **Phone:** (845) 362-8400
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 20, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 33E771 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1013072404) · Data from the CMS NPPES public registry.