ANDREA HELEN POLESKY MD
NPI 1063517365
Internal Medicine - Infectious Disease in San Ysidro, CA

Q: What is Andrea Polesky's NPI number?

The NPI number for Andrea Polesky is 1063517365. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Andrea Polesky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Polesky was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Andrea Helen Polesky Md NPPES

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

ANDREA HELEN POLESKY MD (NPI 1063517365) is an individual infectious disease provider in San Ysidro, California, licensed in California (G81333) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1991).

NPPES Registry Identity

NPI1063517365

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameANDREA HELEN POLESKYCredential: MD

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address1601 Precision Park LnSan Diego, CA 92173-1345 · (619) 936-3823

Phone(619) 662-4100

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 1991

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1063517365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in CA · G81333

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License G81333 (CA)

4004 BEYER BLVD, San Ysidro, CA 92173

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Other Identifiers 1

Medicaid00G813330CA

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

Andrea Helen Polesky 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 ID840355434

PECOS Enrollment IDI20090213000508

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 Reassignments

Medicare enrollment records show Andrea Polesky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Salud De La Comunidad De San Ysidro, Inc.

Same address

Federally Qualified Health Center (FQHC)

4004 BEYER BLVD
San Ysidro, CA 92173

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1164641965 (619) 662-4100

County Of Santa Clara

400 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

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 92173 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)