1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Internal Medicine
  6. NPI Profile

THERESA MACK M.D.,
NPI 1215953047
Internal Medicine in New York, NY

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1111 AMSTERDAM AVE, NEW YORK, NY 10025(212) 256-3539 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Mack M.d., NPPES

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

THERESA MACK M.D., (NPI 1215953047) is an individual internal medicine provider in New York, New York, licensed in New York (175735) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1215953047
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHERESA MACKCredential: M.D.,
Location Address1111 AMSTERDAM AVENew York, NY 10025-1716
Mailing Address150 E 42nd St Fl 9New York, NY 10017-5699 · (646) 605-8188
Phone(212) 256-3539
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 26, 2019
✔ NPI 1215953047 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 · 175735
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.
1111 AMSTERDAM AVE, New York, NY 10025
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Mack 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 ID8527115435
PECOS Enrollment IDI20090413000069
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.

Areas of Expertise CMS Part B claims 2

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.
205 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
103 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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.

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. TAKEHIRO KASAHARA D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3171
DR. MELVIN KU M.D.
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3981
RAVI KATARI
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
YAMINI POTINI MD
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
HANNAH KITTRELL RD, CDN
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3618
DR. STANLEY CORTELL M.D.
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
New York County (212) 523-3530
MR. EZEQUIEL JOSUE RODRIGUEZ RPA-C
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
New York County (212) 523-2650
MR. MICHAEL STEPHEN BALLETTA
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-5918

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 Theresa Mack's NPI number?

The NPI number for Theresa Mack is 1215953047. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Theresa Mack located?

Theresa Mack practices at 1111 Amsterdam Ave, New York, NY 10025. The listed phone number is (212) 256-3539.

What is Theresa Mack's specialty?

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

Is Theresa Mack enrolled in Medicare?

Yes. Theresa Mack 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.

When was this NPI record last updated?

The NPPES record for Theresa Mack was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.