DR. MARTINA BEZDICKOVA M.D.
NPI 1114014891
Pediatrics - Adolescent Medicine in Washingtonville, NY

Active since October 06, 2006PECOS Enrolled
10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992(845) 634-7900(845) 634-0632 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Martina Bezdickova M.d. NPPES

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

DR. MARTINA BEZDICKOVA M.D. (NPI 1114014891) is an individual adolescent medicine provider in Washingtonville, New York, licensed in New York (222646) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114014891
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MARTINA BEZDICKOVACredential: M.D.
Location Address10 WEATHERVANE DRWashingtonville, NY 10992-2242
Mailing Address10 Weathervane DrWashingtonville, NY 10992-2242 · (845) 634-7900 · Fax (845) 634-0632
Fax(845) 634-0632
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 22, 2013
✔ NPI 1114014891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 222646
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
10 WEATHERVANE DR, Washingtonville, NY 10992

Other Identifiers 1

Medicaid02659805NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martina Bezdickova M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Martina Bezdickova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 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.

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.

Pediatrics
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Early Intervention Provider Agency
10 WEATHERVANE DR, SUITE 201
WASHINGTONVILLE, NY 10992
Early Intervention Provider Agency
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Case Manager/Care Coordinator
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Nurse Practitioner (Pediatrics)
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Pediatrics
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Pediatrics (Adolescent Medicine)
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992
Dietitian, Registered
10 WEATHERVANE DR
WASHINGTONVILLE, NY 10992

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 Martina Bezdickova's NPI number?

The NPI number for Martina Bezdickova is 1114014891. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Martina Bezdickova located?

Martina Bezdickova practices at 10 Weathervane Dr, Washingtonville, NY 10992. The listed phone number is (845) 634-7900.

What is Martina Bezdickova's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Martina Bezdickova enrolled in Medicare?

Yes. Martina Bezdickova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Martina Bezdickova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martina Bezdickova reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, 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 Martina Bezdickova'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 Martina Bezdickova was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.