Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BYANCA KEROLLE DO
NPI 1104569029
Family Medicine in Bronx, NY

Q: What is Byanca Kerolle's NPI number?

The NPI number for Byanca Kerolle is 1104569029. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Byanca Kerolle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Byanca Kerolle was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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 April 18, 2022PECOS Enrolled

1650 GRAND CONCOURSE, BRONX, NY 10457(718) 901-8203 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Aug 31, 2023, Apr 18, 2022 (3 updates tracked since 2022).

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About Byanca Kerolle Do NPPES

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

BYANCA KEROLLE DO (NPI 1104569029) is an individual family medicine provider in Bronx, New York, licensed in New York (347001) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104569029

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBYANCA KEROLLECredential: DO

Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606

Mailing Address1111 Westchester AveWhite Plains, NY 10604-3525 · (914) 327-2700

Phone(718) 901-8203

Sole ProprietorNo

Enumeration DateApril 18, 2022

Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1104569029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 347001

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1650 GRAND CONCOURSE, Bronx, NY 10457

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Byanca Kerolle Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

CASSIE LAUREN GREEN M.S., CCC-SLP

Speech-Language Pathologist