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DR. ETHAN DAVID LOEB M.D.
NPI 1275727711
Internal Medicine in Roslyn Heights, NY

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
19 SYCAMORE LN, ROSLYN HEIGHTS, NY 11577(504) 606-7612 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan David Loeb M.d. NPPES

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

DR. ETHAN DAVID LOEB M.D. (NPI 1275727711) is an individual internal medicine provider in Roslyn Heights, New York, licensed in New York (232033-1) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1996).

NPPES Registry Identity

NPI1275727711
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ETHAN DAVID LOEBCredential: M.D.
Location Address19 SYCAMORE LNRoslyn Heights, NY 11577-2521
Mailing Address19 Sycamore LnRoslyn Heights, NY 11577-2521 · (504) 606-7612
Phone(504) 606-7612
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1996
Enumeration DateAugust 28, 2007
✔ NPI 1275727711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 232033-1✔ Licensed in CA · A63945
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.
19 SYCAMORE LN, Roslyn Heights, NY 11577
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Ethan David Loeb 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 ID8921288481
PECOS Enrollment IDI20110215001188
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11577 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Ethan Loeb's NPI number?

The NPI number for Ethan Loeb is 1275727711. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Ethan Loeb located?

Ethan Loeb practices at 19 Sycamore Ln, Roslyn Heights, NY 11577. The listed phone number is (504) 606-7612.

What is Ethan Loeb's specialty?

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

Is Ethan Loeb enrolled in Medicare?

Yes. Ethan Loeb 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 Ethan Loeb accept?

Health plans from Blue Cross and Blue Shield of Texas list Ethan Loeb 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.

When was this NPI record last updated?

The NPPES record for Ethan Loeb was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.