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KATHERINE ERICSON MD
NPI 1366973224
Pediatrics in Bronx, NY

Active since March 22, 2017PECOS Enrolled
4507 3RD AVE, BRONX, NY 10457(718) 960-9196(718) 960-9138 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Jul 4, 2020, Mar 22, 2017 (3 updates tracked since 2017).

About Katherine Ericson Md NPPES

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

KATHERINE ERICSON MD (NPI 1366973224) is an individual pediatrics provider in Bronx, New York, licensed in New York (304259) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1366973224
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHERINE ERICSONCredential: MD
Location Address4507 3RD AVEBronx, NY 10457-1515
Mailing Address4507 3rd AveBronx, NY 10457-1515 · (718) 960-6497
Phone(718) 960-9196
Fax(718) 960-9138
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateMay 16, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1366973224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 304259
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4507 3RD AVE, Bronx, NY 10457
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Secondary Practice Location 1

Location 1220 W 98th St Apt 8ENew York, NY 10025-5674 · Phone (832) 228-2369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Ericson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

FRANCESCA REYNOSO-MARAGE LCSW
Social Worker
4507 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-3730

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 Katherine Ericson's NPI number?

The NPI number for Katherine Ericson is 1366973224. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Katherine Ericson located?

Katherine Ericson practices at 4507 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9196.

What is Katherine Ericson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Ericson enrolled in Medicare?

Yes. Katherine Ericson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Ericson was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.