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DR. ELIA RACKOVSKY
NPI 1164927083
Pediatrics in Bronx, NY

Active since March 25, 2018PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 741-2460(718) 652-5592 Get Directions Write a Review

NPPES record last updated: June 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2024, Mar 25, 2018 (2 updates tracked since 2018).

About Dr. Elia Rackovsky NPPES

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

DR. ELIA RACKOVSKY (NPI 1164927083) is an individual pediatrics provider in Bronx, New York, licensed in New York (308869) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164927083
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIA RACKOVSKY
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 741-2460 · Fax (718) 652-6692
Phone(718) 741-2460
Fax(718) 652-5592
Sole ProprietorNo
Enumeration DateMarch 25, 2018
Last NPPES UpdateJune 30, 20242 updates tracked since enumeration
NPPES CertifiedJune 30, 2024
✔ NPI 1164927083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 308869
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elia Rackovsky 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 Reassignments

2

Medicare enrollment records show Elia Rackovsky 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
Physician Affiliate Group Of New York PC
5.5 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

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

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.

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. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Elia Rackovsky's NPI number?

The NPI number for Elia Rackovsky is 1164927083. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Elia Rackovsky located?

Elia Rackovsky practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 741-2460.

What is Elia Rackovsky's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elia Rackovsky enrolled in Medicare?

Yes. Elia Rackovsky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elia Rackovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elia Rackovsky reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Physician Affiliate Group Of New York PC (New York, 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 Elia Rackovsky'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 Elia Rackovsky was last updated on June 30, 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.