1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Internal Medicine
  6. NPI Profile

DR. ANDREA KERMACK M.D.
NPI 1083021133
Internal Medicine - Addiction Medicine in Bronx, NY

Active since July 21, 2014PECOS Enrolled
100/100
CMS Quality Rating

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2021, Dec 12, 2018, Sep 28, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Andrea Kermack M.d. NPPES

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

DR. ANDREA KERMACK M.D. (NPI 1083021133) is an individual addiction medicine provider in Bronx, New York, licensed in New York (275487) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1083021133
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameDR. ANDREA KERMACKCredential: M.D.
Location Address804 E 138THBronx, NY 10039
Mailing Address804 E 138thBronx, NY 10039 · (718) 665-7500
Phone(718) 665-7500
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 21, 2014
Last NPPES UpdateMay 3, 20214 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1083021133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in NY · 275487
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 275487 (NY)
804 E 138TH, Bronx, NY 10039
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Kermack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698048304
PECOS Enrollment IDI20170831001274
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10039 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Andrea Kermack's NPI number?

The NPI number for Andrea Kermack is 1083021133. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Andrea Kermack located?

Andrea Kermack practices at 804 E 138th, Bronx, NY 10039. The listed phone number is (718) 665-7500.

What is Andrea Kermack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Andrea Kermack enrolled in Medicare?

Yes. Andrea Kermack is registered in the Medicare PECOS enrollment system.

Is Andrea Kermack affiliated with any hospitals?

According to CMS data, Andrea Kermack is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Kermack was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.