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TARA HITESHEW
NPI 1215566500
Specialist in Elmhurst, NY

Active since April 07, 2020PECOS Enrolled
7901 BROADWAY, ELMHURST, NY 11373(718) 334-3680 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 12, 2025, Apr 7, 2020 (2 updates tracked since 2020).

About Tara Hiteshew NPPES

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

TARA HITESHEW (NPI 1215566500) is an individual specialist in Elmhurst, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215566500
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTARA HITESHEW
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address419 Stanhope StBrooklyn, NY 11237-4404 · (203) 364-7297
Phone(718) 334-3680
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2020
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1215566500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7901 BROADWAY, Elmhurst, NY 11373
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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)

Tara Hiteshew is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749746519
PECOS Enrollment IDI20260731001599
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 Tara Hiteshew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
Same address
General Acute Care Hospital
79-01 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1063426377 (718) 334-4900

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

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.

MR. PAUL ADRIAN POWELL P.A
Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
RUDRA PRADEEP KOUL MD
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
CARLOS ANDRES PAREDES PONCE MD
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-3050
JOSH KLEINMUNTZ LCSW
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-2650
AMELIA O'BRIEN LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (408) 838-0392
COLIN PAUL CARPENTER DO
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
VANESSA GONZALEZ LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4630
SASHA AMEILIA KANDASAMMY
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (516) 849-2409

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 Tara Hiteshew's NPI number?

The NPI number for Tara Hiteshew is 1215566500. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Tara Hiteshew located?

Tara Hiteshew practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-3680.

What is Tara Hiteshew's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tara Hiteshew enrolled in Medicare?

Yes. Tara Hiteshew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Hiteshew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Hiteshew reassigns Medicare benefits to New York City Health And Hospitals Corporation (Elmhurst, NY). 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 Tara Hiteshew'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 Tara Hiteshew was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.