DR. ITCHIE STATFELD MD
NPI 1053345108
Pediatrics - Adolescent Medicine in Brooklyn, NY
NPI Status: Active since July 11, 2006
Contact Information
16 SUMNER PL
BROOKLYN, NY
ZIP 11206
Phone: (718) 782-5053
Fax: (718) 782-0717
- Individual
- Male
- Years of Experience 39
- Pediatrics
- Adolescent Medicine
- May Accept Medicare Approved Payment
- PECOS Enrolled
- CLIA Number: 33D0912256
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About ITCHIE STATFELD
This page provides the complete NPI Profile along with additional information for Itchie Statfeld, a pediatrician established in Brooklyn, New York with a medical specialization in Pediatrics, focusing in adolescent medicine and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1053345108 assigned on July 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 179725 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1053345108
- Provider Name
- DR. ITCHIE STATFELD MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 16 SUMNER PL BROOKLYN, NY 11206
- Location Phone
- (718) 782-5053
- Location Fax
- (718) 782-0717
- Mailing Address
- 16 SUMNER PL BROOKLYN, NY 11206
- Mailing Phone
- (718) 782-5053
- Mailing Fax
- (718) 782-0717
- Medical School Name
- OTHER
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2006
- Last Update Date
- 03-31-2024
- Code Navigator
A pediatrician like Itchie Statfeld is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 179725
- License State
- NY
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Medicare Participation & PECOS Enrollment Status
Itchie Statfeld is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Itchie Statfeld is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5395224471
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20260209003437
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0912256
- Facility Type
- Physician Office
- Certificate Effective Date
- January 10, 2022
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- DR. ITCHIE STATFELD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Itchie Statfeld after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053345108, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 42 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BROOKLYN, NY 11206
BROOKLYN, NY 11206
BROOKLYN, NY 11206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053345108, enumerated as an "individual" on July 11, 2006.
The provider is located at 16 SUMNER PL BROOKLYN, NY 11206 and the phone number is (718) 782-5053.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.