DR. ALEXIS PANKOW M.D.
NPI 1306133822
Pediatrics - Pediatric Emergency Medicine in New York, NY
About Dr. Alexis Pankow M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXIS PANKOW M.D. (NPI 1306133822) is an individual pediatric emergency medicine provider in New York, New York, licensed in New York (268930) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alexis Pankow M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alexis Pankow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Alexis Pankow's NPI number?
The NPI number for Alexis Pankow is 1306133822. It was assigned to this individual provider in the NPPES registry on July 5, 2011.
Where is Alexis Pankow located?
Alexis Pankow practices at 462 1st Ave Department Of Emergency Medicine, New York, NY 10016. The listed phone number is (718) 741-2460.
What is Alexis Pankow's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Alexis Pankow enrolled in Medicare?
Yes. Alexis Pankow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alexis Pankow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Pankow reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Alexis Pankow'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 Alexis Pankow was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Alexis Pankow, M.D. · NPI 1306133822
Pediatric Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 5, 2011.
## Identity
- **NPI:** 1306133822 (Entity type: Individual)
- **Enumerated:** July 5, 2011
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 268930 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 462 1ST AVE, DEPARTMENT OF EMERGENCY MEDICINE, New York, NY 10016-9196
- **Phone:** (718) 741-2460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1306133822) · Data from the CMS NPPES public registry.