COLORECTAL CARE PLLC
NPI 1073923561
Colon & Rectal Surgery in Brooklyn, NY
About Colorectal Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLORECTAL CARE PLLC (NPI 1073923561) is a healthcare organization registered as a colon & rectal surgery in Brooklyn, New York and active in the NPI registry since May 2014. The organization lists Mychailo Fulmes, Sole Mbr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colorectal Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colorectal Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Colorectal Care PLLC's NPI number?
The NPI number for Colorectal Care PLLC is 1073923561. It was assigned to this organization in the NPPES registry on May 6, 2014.
Where is Colorectal Care PLLC located?
Colorectal Care PLLC is located at 2647 Coney Island Ave, Brooklyn, NY 11223. The listed phone number is (718) 743-4450.
What is Colorectal Care PLLC's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Colorectal Care PLLC enrolled in Medicare?
Yes. Colorectal Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colorectal Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Colorectal Care PLLC. 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.
When was this NPI record last updated?
The NPPES record for Colorectal Care PLLC was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Colorectal Care Pllc · NPI 1073923561
Colon & Rectal Surgery organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since May 6, 2014.
## Identity
- **NPI:** 1073923561 (Entity type: Organization)
- **Enumerated:** May 6, 2014
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **Organization subpart:** No
- **Authorized official:** Mychailo Fulmes, SOLE MBR
## Practice location
- **Address:** 2647 CONEY ISLAND AVE, Brooklyn, NY 11223-5502
- **Phone:** (718) 743-4450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1073923561) · Data from the CMS NPPES public registry.