DR. NICHOLAS SPARTAN SANTAVICCA M.D.
NPI 1124313374
Emergency Medicine in Bronx, NY

Q: What is Nicholas Santavicca's NPI number?

The NPI number for Nicholas Santavicca is 1124313374. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Q: What is Nicholas Santavicca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

111 E 210TH ST, BRONX, NY 10467(718) 920-5731 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 8, 2017 (3 updates tracked since 2017).

On this page

About Dr. Nicholas Spartan Santavicca M.d. NPPES

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

DR. NICHOLAS SPARTAN SANTAVICCA M.D. (NPI 1124313374) is an individual emergency medicine provider in Bronx, New York, licensed in New York (288543) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Montefiore New Rochelle Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1124313374

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NICHOLAS SPARTAN SANTAVICCACredential: M.D.

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address51 Tower PlYonkers, NY 10703-2264 · (914) 469-6434

Phone(718) 920-5731

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2011

Enumeration DateJune 16, 2011

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1124313374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 288543

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 E 210TH ST, Bronx, NY 10467

Open in Google Maps ↗

Secondary Practice Location 1

Location 122 S Greene StBaltimore, MD 21201-1544 · Phone (410) 328-8025

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

Dr. Nicholas Spartan Santavicca M.d. 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 ID8022381110

PECOS Enrollment IDI20170912002706

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 Nicholas Santavicca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center

Same address

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

East Post Road Medical Services PC

12 mi

Emergency Medicine

41 E POST RD
White Plains, NY 10601

Reassigned Medicare billing, New York enrollment
479 clinicians in this Medicare group

NPI 1841767274 (914) 681-1210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

112 services110 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

94 services90 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

60 services60 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

36 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330184

Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County

Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330304

Location41 East Post R0adWhite Plains, NY 10601 · Westchester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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.

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 Interoperability

100

Improvement Activities

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.

HEATHER ROOT MD

Internal Medicine (Infectious Disease)