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DR. DAVID JOSE FELIX M.D.
NPI 1164401733
Internal Medicine in New York, NY

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
161 MADISON AVE, SUITE 2E, NEW YORK, NY 10016(212) 213-1777(212) 213-0752 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David Jose Felix M.d. NPPES

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

DR. DAVID JOSE FELIX M.D. (NPI 1164401733) is an individual internal medicine provider in New York, New York, licensed in New York (211564-1) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1164401733
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID JOSE FELIXCredential: M.D.
Location Address161 MADISON AVE, SUITE 2ENew York, NY 10016-5421
Mailing Address55 E End Ave, Apartment 7dNew York, NY 10028-7928 · (212) 744-0482
Phone(212) 213-1777
Fax(212) 213-0752
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164401733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 211564-1
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.
161 MADISON AVE, New York, NY 10016
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Other Identifiers 3

Medicare ID-Type Unspecified38N331NY
Medicaid02080308NY
Medicare UPING76612NY

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. David Jose Felix 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 ID9537159611
PECOS Enrollment IDI20171211002636
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 David Felix reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scripps Health
2,431 mi
General Acute Care Hospital
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1700829199 (760) 457-4123

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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
573 services346 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
179 services137 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
109 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services73 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
58 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims52 services$6.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JAMES NEWELL DILLARD M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
161 MADISON AVE, SUITE 11E
NEW YORK, NY 10016
New York County (212) 265-4038
ERIC C. SCARDINA, M.D., P.C.
Internal Medicine (Infectious Disease)
161 MADISON AVE, SUITE 9NE
NEW YORK, NY 10016
New York County (212) 685-0594
KIRSTIN A WOLFE D.D.S.
Dentist (Prosthodontics)
161 MADISON AVE
NEW YORK, NY 10016
New York County (212) 252-8893
MARCEL TUCHMAN MD PC
Internal Medicine
161 MADISON AVE, SUITE 6SE
NEW YORK, NY 10016
New York County (212) 213-9812
CLEARLY MADISON, LLC
Ophthalmology
161 MADISON AVE, SUITE 5SE
NEW YORK, NY 10016
New York County (212) 448-0101
DR. ROBERT JOHN SABET I PHARMD, RPH
Pharmacist
161 MADISON AVE
NEW YORK, NY 10016
New York County (212) 213-2444
VISUAL DIAGNOSTICS
Ophthalmology
161 MADISON AVE, 5NE
NEW YORK, NY 10016
New York County (212) 685-1008
MIDTOWN EAST PHARMACY & SURGICAL LLC
Pharmacy
161 MADISON AVE
NEW YORK, NY 10016
New York County (212) 213-2444

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 David Felix's NPI number?

The NPI number for David Felix is 1164401733. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is David Felix located?

David Felix practices at 161 Madison Ave Suite 2E, New York, NY 10016. The listed phone number is (212) 213-1777.

What is David Felix's specialty?

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

Is David Felix enrolled in Medicare?

Yes. David Felix 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.

Which organization bills Medicare for David Felix's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Felix reassigns Medicare benefits to Scripps Health (Encinitas, CA). 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 David Felix'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 David Felix was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.