METROPOLITAN MEDICAL PRACTICE PLAN PC
NPI 1306138383
General Practice in New York, NY
About Metropolitan Medical Practice Plan Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METROPOLITAN MEDICAL PRACTICE PLAN PC (NPI 1306138383) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since May 2011. The organization lists Sudha Pentyala, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metropolitan Medical Practice Plan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
621Medicare enrollment records show 621 clinicians reassign Medicare billing to Metropolitan Medical Practice Plan PC, which bills Medicare for the services they deliver. Of these, 108 practice at this address and 418 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 53
Nearest to this location (20)
See all 621New York, NY 10029
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Metropolitan Medical Practice Plan PC's NPI number?
The NPI number for Metropolitan Medical Practice Plan PC is 1306138383. It was assigned to this organization in the NPPES registry on May 9, 2011.
Where is Metropolitan Medical Practice Plan PC located?
Metropolitan Medical Practice Plan PC is located at 1901 1st Ave, New York, NY 10029. The listed phone number is (212) 423-7337.
What is Metropolitan Medical Practice Plan PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Metropolitan Medical Practice Plan PC enrolled in Medicare?
Yes. Metropolitan Medical Practice Plan PC is registered in the Medicare PECOS enrollment system.
When is Metropolitan Medical Practice Plan PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Metropolitan Medical Practice Plan PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 621 clinicians in 53 Medicare specialties reassign their Medicare billing to Metropolitan Medical Practice Plan PC. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (51), Psychiatry (49) and Emergency Medicine (46). Of these, 108 practice at this address and 418 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Metropolitan Medical Practice Plan PC accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Metropolitan Medical Practice Plan PC 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 Metropolitan Medical Practice Plan PC was last updated on May 9, 2011. 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.
# Metropolitan Medical Practice Plan Pc · NPI 1306138383
General Practice organization in New York, New York. Organization record, active in the CMS NPPES registry since May 9, 2011.
## Identity
- **NPI:** 1306138383 (Entity type: Organization)
- **Enumerated:** May 9, 2011
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Sudha Pentyala, DIRECTOR
## Practice location
- **Address:** 1901 1ST AVE, New York, NY 10029-7404
- **Phone:** (212) 423-7337 · **Fax:** (212) 423-6318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 621 clinicians in 53 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (51), Psychiatry (49), Emergency Medicine (46); 108 practice at this address and 418 within 10 miles; [full list](https://npiprofile.com/npi/1306138383/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1306138383) · Data from the CMS NPPES public registry.