ELZBIETA MARCHELSKA M.D.
NPI 1356439285
Internal Medicine in Elmhurst, NY

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
7425 GRAND AVE, ELMHURST, NY 11373(718) 803-2273(718) 803-2272 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elzbieta Marchelska M.d. NPPES

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

ELZBIETA MARCHELSKA M.D. (NPI 1356439285) is an individual internal medicine provider in Elmhurst, New York, licensed in New York (242846) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1356439285
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELZBIETA MARCHELSKACredential: M.D.
Location Address7425 GRAND AVEElmhurst, NY 11373-4126
Mailing Address12206 Powells Cove Blvd, BCollege Point, NY 11356-1245 · (718) 321-1708 · Fax (718) 321-1708
Fax(718) 803-2272
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 10, 2006
Last NPPES UpdateDecember 16, 2019
NPI 1356439285 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 · 242846 Licensed in MA · 203262
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.
7425 GRAND AVE, Elmhurst, NY 11373

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

Elzbieta Marchelska 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 ID4082772629
PECOS Enrollment IDI20081025000019
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.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
482 services395 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
162 services149 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
159 services150 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
140 services69 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.
125 services115 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
117 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7425 GRAND AVE
ELMHURST, NY 11373
Physical Therapist
7425 GRAND AVE
ELMHURST, NY 11373
Physical Therapist
7425 GRAND AVE
ELMHURST, NY 11373
Physical Therapist (Orthopedic)
7425 GRAND AVE
ELMHURST, NY 11373
Physical Therapist
7425 GRAND AVE
ELMHURST, NY 11373
Clinic/Center (Urgent Care)
7425 GRAND AVE
ELMHURST, NY 11373
Physical Therapist
7425 GRAND AVE
ELMHURST, NY 11373

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 Elzbieta Marchelska's NPI number?

The NPI number for Elzbieta Marchelska is 1356439285. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Elzbieta Marchelska located?

Elzbieta Marchelska practices at 7425 Grand Ave, Elmhurst, NY 11373. The listed phone number is (718) 803-2273.

What is Elzbieta Marchelska's specialty?

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

Is Elzbieta Marchelska enrolled in Medicare?

Yes. Elzbieta Marchelska 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.

When was this NPI record last updated?

The NPPES record for Elzbieta Marchelska was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.