KELSEY SKLAR
NPI 1265177638
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 30, 2022PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1000 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey Sklar NPPES

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

KELSEY SKLAR (NPI 1265177638) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265177638
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELSEY SKLAR
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 30, 2022
NPPES CertifiedApril 30, 2022
✔ NPI 1265177638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6002385440
PECOS Enrollment IDI20260515000296
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 Kelsey Sklar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Kelsey Sklar's NPI number?

The NPI number for Kelsey Sklar is 1265177638. It was assigned to this individual provider in the NPPES registry on April 30, 2022.

Where is Kelsey Sklar located?

Kelsey Sklar practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1000.

What is Kelsey Sklar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelsey Sklar enrolled in Medicare?

Yes. Kelsey Sklar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Sklar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Sklar reassigns Medicare benefits to Maimonides Faculty Practice Plan (Brooklyn, 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 Kelsey Sklar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelsey Sklar affiliated with any hospitals?

According to CMS data, Kelsey Sklar is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Sklar was last updated on April 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.