WESTCHESTER AVENUE FAMILY MEDICINE PC
NPI 1023388428
Family Medicine in Bronx, NY

Active since January 03, 2012CLIA 33D0869730 · Waiver
1575 WESTCHESTER AVE, BRONX, NY 10472(718) 842-8900 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Westchester Avenue Family Medicine Pc NPPES

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

WESTCHESTER AVENUE FAMILY MEDICINE PC (NPI 1023388428) is a healthcare organization registered as a family medicine in Bronx, New York and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Ajith Kumar Karayil, Owner, as its authorized official.

NPPES Registry Identity

NPI1023388428
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTCHESTER AVENUE FAMILY MEDICINE PC
Location Address1575 WESTCHESTER AVEBronx, NY 10472-2912
Mailing Address34 Inverness CtWhite Plains, NY 10605-5113 · (606) 813-9170 · Fax (718) 589-7952
Organization SubpartNo
Authorized OfficialAjith Kumar KarayilOwner · (606) 813-9170
Enumeration DateJanuary 3, 2012
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 9, 2021
✔ NPI 1023388428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 251400
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1575 WESTCHESTER AVE, Bronx, NY 10472

Other Identifiers 1

Medicaid03166525NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Westchester Avenue Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120409000187Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Westchester Avenue Family Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1104011618
1575 WESTCHESTER AVE
Bronx, NY 10472
(718) 842-8900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0869730

Westchester Avenue Family Medicine PC · Bronx, NY
Active · expires Aug 31, 2028
CLIA Number33D0869730
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Ajith K. Karayil
Laboratory Phone(718) 842-8900
Laboratory LocationWestchester Avenue Family Medicine PC1575 Westchester Avenue - Room 2, Bronx, NY 10472
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Westchester Avenue Family Medicine PC's NPI number?

The NPI number for Westchester Avenue Family Medicine PC is 1023388428. It was assigned to this organization in the NPPES registry on January 3, 2012.

Where is Westchester Avenue Family Medicine PC located?

Westchester Avenue Family Medicine PC is located at 1575 Westchester Ave, Bronx, NY 10472. The listed phone number is (718) 842-8900.

What is Westchester Avenue Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Westchester Avenue Family Medicine PC enrolled in Medicare?

Yes. Westchester Avenue Family Medicine PC is registered in the Medicare PECOS enrollment system.

When is Westchester Avenue Family Medicine PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Westchester Avenue Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Westchester Avenue Family Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Westchester Avenue Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0869730) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Westchester Avenue Family Medicine PC was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.