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DR. DAVID TENEMBAUM MD
NPI 1043453962
Internal Medicine - Gastroenterology in Jackson Heights, NY

Active since April 07, 2009PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2349913 · Certificate of Compliance
9001 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 396-2005(718) 396-2006 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Nov 29, 2017 (2 updates tracked since 2017).

About Dr. David Tenembaum Md NPPES

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

DR. DAVID TENEMBAUM MD (NPI 1043453962) is an individual gastroenterology provider in Jackson Heights, New York, licensed in New York (265810) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through March 26, 2027, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043453962
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAVID TENEMBAUMCredential: MD
Location Address9001 ROOSEVELT AVEJackson Heights, NY 11372-7938
Mailing Address9001 Roosevelt AveJackson Heights, NY 11372-7938 · (718) 396-2005 · Fax (718) 396-2006
Phone(718) 396-2005
Fax(718) 396-2006
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2009
Enumeration DateApril 7, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1043453962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 265810
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9001 ROOSEVELT AVE, Jackson Heights, NY 11372
Open in Google Maps ↗

Secondary Practice Locations 2

Location 122 Copperfield LnOld Westbury, NY 11568-1214 · Phone (516) 626-6766
Location 29001 Roosevelt AveJackson Heights, NY 11372-7938 · Phone (718) 396-2005 · Fax (718) 396-2006

Other Identifiers 1

Medicaid03505039NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Tenembaum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820237936
PECOS Enrollment IDI20180427002023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Tenembaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

David Tenembaum MD PC
Same address
Gastroenterology
9001 ROOSEVELT AVE STE 2A
Jackson Heights, NY 11372
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1669124236 (718) 396-2005

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 Compliance 33D2349913

David Tenembaum, MD, PC · Jackson Heights, NY
Active · expires Mar 26, 2027
CLIA Number33D2349913
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Melissa A. Umphlett
Laboratory Phone(718) 396-2005
Laboratory LocationDavid Tenembaum, MD, PC90 01 Roosevelt Ave, Jackson Heights, NY 11372
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services11 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COSMOS TOTAL OPTOMETRY CARE PLLC
Optometrist
9001 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 458-8500
DR. JOANNE ECONOPOULY O.D.
Optometrist
9001 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 458-9761
ELVIS ALFONSO MD OB-GYN PC
Obstetrics & Gynecology
9001 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (929) 522-0165

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 David Tenembaum's NPI number?

The NPI number for David Tenembaum is 1043453962. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is David Tenembaum located?

David Tenembaum practices at 9001 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 396-2005.

What is David Tenembaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Tenembaum enrolled in Medicare?

Yes. David Tenembaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Tenembaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Tenembaum reassigns Medicare benefits to David Tenembaum MD PC (Jackson Heights, NY). The 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 David Tenembaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does David Tenembaum hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2349913) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David Tenembaum accept?

Health plans from Oscar Insurance Company list David Tenembaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Tenembaum was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.