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DR. ERIC M WAHL M.D.
NPI 1275667875
Specialist in New York, NY

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
30 5TH AVE, 1E, NEW YORK, NY 10011(212) 674-8777(212) 674-8858 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric M Wahl M.d. NPPES

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

DR. ERIC M WAHL M.D. (NPI 1275667875) is an individual specialist in New York, New York, licensed in New York (186607) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1275667875
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ERIC M WAHLCredential: M.D.
Location Address30 5TH AVE, 1ENew York, NY 10011-8859
Mailing Address30 5th AveNew York, NY 10011-8859 · (212) 674-8777 · Fax (212) 674-8858
Phone(212) 674-8777
Fax(212) 674-8858
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 15, 2007
Last NPPES UpdateNovember 23, 2010
✔ NPI 1275667875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 186607
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.
30 5TH AVE, New York, NY 10011
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Other Identifiers 2

Medicare UPINF42926NY
Medicare ID-Type Unspecified84K371NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric M Wahl 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 ID7113108325
PECOS Enrollment IDI20110222000228
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 Eric Wahl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ryan-Chelsea Clinton Community Health Center
2.0 mi
Federally Qualified Health Center (FQHC)
645 10TH AVE
New York, NY 10036
  • Reassigned Medicare billing, New York enrollment
  • 48 clinicians in this Medicare group
NPI 1215978960 (212) 265-4500

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL FREDRICK LEIFERT D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
New York County (212) 533-7880
ELI KRAIEM
Psychologist
30 5TH AVE
NEW YORK, NY 10011
New York County (917) 727-1015
DR. RONNIETTE CRISTINA GARCIA
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, APT 1K
NEW YORK, NY 10011
New York County (212) 533-7880
VILLAGE FAMILY PRACTICE
Clinic/Center (Primary Care)
30 5TH AVE, 1E
NEW YORK, NY 10011
New York County (212) 477-1750
JUDITH LAMBEK PSYD
Psychologist (Clinical)
30 5TH AVE
NEW YORK, NY 10011
New York County (917) 727-1015
JERRY EUGENE CLEMENTS MD
Family Medicine
30 5TH AVE, 1E
NEW YORK, NY 10011
New York County (212) 477-1750
DR. MELVYN MARTIN LEIFERT D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
New York County (212) 533-7880
JEFFREY A NAIDITCH MD
Internal Medicine
30 5TH AVE, SUITE1B
NEW YORK, NY 10011
New York County (212) 228-5548

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 Eric Wahl's NPI number?

The NPI number for Eric Wahl is 1275667875. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Eric Wahl located?

Eric Wahl practices at 30 5th Ave 1E, New York, NY 10011. The listed phone number is (212) 674-8777.

What is Eric Wahl's specialty?

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

Is Eric Wahl enrolled in Medicare?

Yes. Eric Wahl 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.

Which organization bills Medicare for Eric Wahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Wahl reassigns Medicare benefits to Ryan-Chelsea Clinton Community Health Center (New York, 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 Eric Wahl'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 Eric Wahl was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.