GRACE NABILA PENA FATULE M.D.
NPI 1124482484
Internal Medicine in Jamaica, NY

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
89.52/100
CMS Quality Rating
8900 VAN WYCK EXPY, JAMAICA, NY 11418(210) 206-6000 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Jun 18, 2024, Apr 20, 2021 and 2 more (5 updates tracked since 2016).

About Grace Nabila Pena Fatule M.d. NPPES

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

GRACE NABILA PENA FATULE M.D. (NPI 1124482484) is an individual internal medicine provider in Jamaica, New York, licensed in New York (307883-01) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124482484
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGRACE NABILA PENA FATULECredential: M.D.
Location Address8900 VAN WYCK EXPYJamaica, NY 11418-2832
Mailing Address8900 Van Wyck ExpyJamaica, NY 11418-2832 · (718) 206-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 12, 2016
Last NPPES UpdateJuly 24, 20245 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1124482484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 307883-01
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 307883-01 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 307883-01 (NY)
8900 VAN WYCK EXPY, Jamaica, NY 11418

Other Names 1

Former Name (1)Grace Nabila Martinez Pena M. D.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Grace Nabila Pena Fatule 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 ID749525939
PECOS Enrollment IDI20210125001901
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.

Areas of Expertise CMS Part B claims 2

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.

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.
98 services47 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
42 services36 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

89.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.34
Promoting Interoperability79
Improvement Activities40
Cost73.91

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.

Neurological Surgery
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Obstetrics & Gynecology
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
JAMAICA, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
JAMAICA, NY 11418
Emergency Medicine
8900 VAN WYCK EXPY
JAMAICA, NY 11418

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 Grace Pena Fatule's NPI number?

The NPI number for Grace Pena Fatule is 1124482484. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Grace Nabila Martinez Pena M. D..

Where is Grace Pena Fatule located?

Grace Pena Fatule practices at 8900 Van Wyck Expy, Jamaica, NY 11418. The listed phone number is (210) 206-6000.

What is Grace Pena Fatule's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Grace Pena Fatule enrolled in Medicare?

Yes. Grace Pena Fatule is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Grace Pena Fatule affiliated with any hospitals?

According to CMS data, Grace Pena Fatule is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Grace Pena Fatule was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.