POPPY ADDISON MD
NPI 1295239473
Colon & Rectal Surgery in Staten Island, NY

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
256 MASON AVE FL 3, STATEN ISLAND, NY 10305(718) 226-6398 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Oct 27, 2023, Oct 18, 2023 and 2 more (5 updates tracked since 2018).

About Poppy Addison Md NPPES

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

POPPY ADDISON MD (NPI 1295239473) is an individual colon & rectal surgery provider in Staten Island, New York, licensed in New York (333393) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295239473
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NamePOPPY ADDISONCredential: MD
Location Address256 MASON AVE FL 3Staten Island, NY 10305-3408
Mailing Address256 Mason Ave Fl 3Staten Island, NY 10305-3408
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateFebruary 25, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1295239473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses Licensed in NY · 333393 Licensed in MN · 73768
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
256 MASON AVE FL 3, Staten Island, NY 10305

Secondary Practice Locations 2

Location 1100 E 77th StNew York, NY 10075-1850 · Phone (212) 434-2000
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Poppy Addison Md 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 ID4183960693
PECOS Enrollment IDI20241118001046
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.

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 Poppy Addison's NPI number?

The NPI number for Poppy Addison is 1295239473. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Poppy Addison located?

Poppy Addison practices at 256 Mason Ave Fl 3, Staten Island, NY 10305. The listed phone number is (718) 226-6398.

What is Poppy Addison's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Poppy Addison enrolled in Medicare?

Yes. Poppy Addison 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.

Is Poppy Addison affiliated with any hospitals?

According to CMS data, Poppy Addison is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Poppy Addison was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.