PRIMARY CARE PHYSICIAN SPECIALIST
NPI 1205671583
Family Medicine in Bronx, NY
About Primary Care Physician Specialist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE PHYSICIAN SPECIALIST (NPI 1205671583) is a healthcare organization registered as a family medicine in Bronx, New York and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Bronx and lists Andrea Elba Andrade, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care Physician Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Primary Care Physician Specialist, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Primary Care Physician Specialist's NPI number?
The NPI number for Primary Care Physician Specialist is 1205671583. It was assigned to this organization in the NPPES registry on June 27, 2024.
Where is Primary Care Physician Specialist located?
Primary Care Physician Specialist is located at 1927 Williamsbridge Rd, Bronx, NY 10461. The listed phone number is (718) 828-1549.
What is Primary Care Physician Specialist's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Primary Care Physician Specialist enrolled in Medicare?
Yes. Primary Care Physician Specialist is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Physician Specialist?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Primary Care Physician Specialist. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Primary Care Physician Specialist was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Primary Care Physician Specialist · NPI 1205671583
Family Medicine organization in Bronx, New York. Organization record, active in the CMS NPPES registry since June 27, 2024.
## Identity
- **NPI:** 1205671583 (Entity type: Organization)
- **Enumerated:** June 27, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Andrade, PRESIDENT
## Practice location
- **Address:** 1927 WILLIAMSBRIDGE RD, Bronx, NY 10461-1604
- **Phone:** (718) 828-1549 · **Fax:** (718) 828-5029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2026
- **Other identifiers:** Medicaid 04938047 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1205671583) · Data from the CMS NPPES public registry.