TANAIRI VILDOSO NP
NPI 1053867838
Nurse Practitioner - Family in New York, NY
About Tanairi Vildoso Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANAIRI VILDOSO NP (NPI 1053867838) is an individual family provider in New York, New York, licensed in New York (F341636-1) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanairi Vildoso Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tanairi Vildoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 329 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tanairi Vildoso's NPI number?
The NPI number for Tanairi Vildoso is 1053867838. It was assigned to this individual provider in the NPPES registry on August 31, 2016.
Where is Tanairi Vildoso located?
Tanairi Vildoso practices at 5 E 98th St Fl 3, New York, NY 10029. The listed phone number is (212) 824-2350.
What is Tanairi Vildoso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tanairi Vildoso enrolled in Medicare?
Yes. Tanairi Vildoso is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tanairi Vildoso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanairi Vildoso reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, 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 Tanairi Vildoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tanairi Vildoso was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tanairi Vildoso, NP · NPI 1053867838
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 31, 2016.
## Identity
- **NPI:** 1053867838 (Entity type: Individual)
- **Enumerated:** August 31, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F341636-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 E 98TH ST FL 3, New York, NY 10029-6501
- **Phone:** (212) 824-2350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Icahn School Of Medicine At Mount Sinai (NPI 1538407176, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053867838) · Data from the CMS NPPES public registry.