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DR. RACHEL BIJOU M.D.
NPI 1225115082
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in New York, NY

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
173 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 305-4600(212) 305-7439 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Mar 7, 2024, Apr 13, 2020 (3 updates tracked since 2020).

About Dr. Rachel Bijou M.d. NPPES

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

DR. RACHEL BIJOU M.D. (NPI 1225115082) is an individual advanced heart failure and transplant cardiology provider in New York, New York, licensed in New York (180511) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of State University Of New York Downstate Medical Center (1988).

NPPES Registry Identity

NPI1225115082
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameDR. RACHEL BIJOUCredential: M.D.
Location Address173 FORT WASHINGTON AVENew York, NY 10032-3739
Mailing Address622 W 168th St Ph 12New York, NY 10032-3720 · (212) 305-4600 · Fax (212) 305-7439
Phone(212) 305-4600
Fax(212) 305-7439
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1988
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1225115082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
Licenses✔ Licensed in NY · 180511✔ Licensed in NJ · 25MA11438800
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA11438800 (NJ), 180511 (NY)
173 FORT WASHINGTON AVE, New York, NY 10032
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Other Identifiers 1

Medicaid01502450NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Rachel Bijou 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 ID1153459326
PECOS Enrollment IDI20100507000686
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services34 patients
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.
44 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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.

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 through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers24 claims24 services$19.53 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers24 claims164 services$38.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$52.90 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers24 claims1,304 services$1.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$31.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GEOFFREY RUBIN
Internal Medicine (Clinical Cardiac Electrophysiology)
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5588
EMILIA ADELL HERMANN M.D., M.P.H
Internal Medicine
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5138
KRISTEN KOLB RN
Registered Nurse (Psychiatric/Mental Health, Adult)
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2500
TIMOTHY JAMES CRIMMINS JR. M.D.
Internal Medicine
173 FORT WASHINGTON AVE, HEART CENTER 4TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-9875
MR. BYRON GERARD FUSELIER JR. FNP
Nurse Practitioner (Family)
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-4600
PAIGE BERGIN MULLIGAN NP
Nurse Practitioner (Adult Health)
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-4600
DOR LOTAN MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-4600
LINDA KRISTINA GOJCAJ PA-C
Physician Assistant
173 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-8433

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 Rachel Bijou's NPI number?

The NPI number for Rachel Bijou is 1225115082. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Rachel Bijou located?

Rachel Bijou practices at 173 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 305-4600.

What is Rachel Bijou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Rachel Bijou enrolled in Medicare?

Yes. Rachel Bijou 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.

What insurance does Rachel Bijou accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rachel Bijou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rachel Bijou affiliated with any hospitals?

According to CMS data, Rachel Bijou is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Bijou was last updated on April 3, 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.