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DR. LEROY HERBERT MD
NPI 1285635953
Internal Medicine - Nephrology in New York, NY

Active since August 03, 2005PECOS Enrolled
2615 FREDERICK BLVD, NEW YORK, NY 10030(212) 281-8200(212) 281-8301 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leroy Herbert Md NPPES

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

DR. LEROY HERBERT MD (NPI 1285635953) is an individual nephrology provider in New York, New York, licensed in New York (186982-1) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1989).

NPPES Registry Identity

NPI1285635953
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. LEROY HERBERTCredential: MD
Location Address2615 FREDERICK BLVDNew York, NY 10030
Mailing Address2615 Frederick Douglas BlvdNew York, NY 10030 · (212) 281-8200 · Fax (212) 281-8301
Phone(212) 281-8200
Fax(212) 281-8301
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1989
Enumeration DateAugust 3, 2005
Last NPPES UpdateMarch 28, 2008
✔ NPI 1285635953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 186982-1
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2615 FREDERICK BLVD, New York, NY 10030
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN62U881NY
Medicare UPING41426NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leroy Herbert Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719882109
PECOS Enrollment IDI20031126000488
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 Reassignments

3

Medicare enrollment records show Leroy Herbert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Leroy Herbert, MD,pc
Same address
Nephrology
2615 FREDERICK DOUGLASS BLVD
New York, NY 10030
  • Reassigned Medicare billing, New York enrollment
NPI 1649461757 (212) 281-8200
Physician Affiliate Group Of New York PC
0.4 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Harlem Medical Associates PC
0.5 mi
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300

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

Areas of Expertise CMS Part B claims 3

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
162 services26 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.
55 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10030 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.

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 Leroy Herbert's NPI number?

The NPI number for Leroy Herbert is 1285635953. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Leroy Herbert located?

Leroy Herbert practices at 2615 Frederick Blvd, New York, NY 10030. The listed phone number is (212) 281-8200.

What is Leroy Herbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Leroy Herbert enrolled in Medicare?

Yes. Leroy Herbert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leroy Herbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leroy Herbert reassigns Medicare benefits to 3 organizations: Leroy Herbert, MD,pc (New York, NY), Physician Affiliate Group Of New York PC (New York, NY) and Harlem Medical Associates PC (New York, NY). Each 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 Leroy Herbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Leroy Herbert affiliated with any hospitals?

According to CMS data, Leroy Herbert is affiliated with Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Leroy Herbert was last updated on March 28, 2008. 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.