DR. MICHEL-ANGE CAMILLE M.D
NPI 1164452009
Psychiatry & Neurology - Psychiatry in Bronx, NY

Active since July 04, 2006PECOS Enrolled
100/100
CMS Quality Rating
2021 GRAND CONCOURSE, BRONX, NY 10453(718) 960-0320 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. Michel-ange Camille M.d NPPES

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

DR. MICHEL-ANGE CAMILLE M.D (NPI 1164452009) is an individual psychiatry provider in Bronx, New York, licensed in New York (155458) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St John's Riverside Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1164452009
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MICHEL-ANGE CAMILLECredential: M.D
Location Address2021 GRAND CONCOURSEBronx, NY 10453-4304
Mailing Address31 Parliament DrNew City, NY 10956-6927 · (845) 639-9467
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164452009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 155458
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2021 GRAND CONCOURSE, Bronx, NY 10453

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michel-ange Camille M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082769617
PECOS Enrollment IDI20090903000668
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

3

Medicare enrollment records show Michel-ange Camille reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Addiction Medicine
967 N BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
Emergency Medicine
128 ASHFORD AVE
Dobbs Ferry, NY 10522
  • Reassigned Medicare billing, New York enrollment
  • 61 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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
77 services63 patients

Hospital Affiliations CMS Care Compare

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

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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
Quality92.27
Improvement Activities40

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.

Counselor (Mental Health)
2021 GRAND CONCOURSE
BRONX, NY 10453
Family Medicine
2021 GRAND CONCOURSE
BRONX, NY 10453
Social Worker
2021 GRAND CONCOURSE, 7TH FLOOR
BRONX, NY 10453
Pharmacy (Community/Retail Pharmacy)
2021 GRAND CONCOURSE
BRONX, NY 10453
Social Worker
2021 GRAND CONCOURSE, 7TH FLOOR
BRONX, NY 10453
Social Worker (Clinical)
2021 GRAND CONCOURSE, 6TH FLOOR
BRONX, NY 10453
Case Manager/Care Coordinator
2021 GRAND CONCOURSE, 6TH FLOOR
BRONX, NY 10453
Social Worker (Clinical)
2021 GRAND CONCOURSE, 8TH FLOOR
BRONX, NY 10453

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 Michel-ange Camille's NPI number?

The NPI number for Michel-ange Camille is 1164452009. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Michel-ange Camille located?

Michel-ange Camille practices at 2021 Grand Concourse, Bronx, NY 10453. The listed phone number is (718) 960-0320.

What is Michel-ange Camille's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michel-ange Camille enrolled in Medicare?

Yes. Michel-ange Camille is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michel-ange Camille's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michel-ange Camille reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Symphony Medical PC (Yonkers, NY) and Dobbs Ferry Emergency Medicine, PC (Dobbs Ferry, NY). Each 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 Michel-ange Camille's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michel-ange Camille affiliated with any hospitals?

According to CMS data, Michel-ange Camille is affiliated with St John's Riverside Hospital.

When was this NPI record last updated?

The NPPES record for Michel-ange Camille 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.