DAVID H CISEWSKI M.D.
NPI 1366973810
Student in an Organized Health Care Education/Training Program in New York, NY
About David H Cisewski M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID H CISEWSKI M.D. (NPI 1366973810) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2017).
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 and accepts Medicare assignment
David H Cisewski 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.
Medicare Billing Reassignment
Medicare enrollment records show David Cisewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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 David Cisewski's NPI number?
The NPI number for David Cisewski is 1366973810. It was assigned to this individual provider in the NPPES registry on March 27, 2017.
Where is David Cisewski located?
David Cisewski practices at 1 Gustave L Levy Pl Box 1149, New York, NY 10029. The listed phone number is (718) 924-0089.
What is David Cisewski's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is David Cisewski enrolled in Medicare?
Yes. David Cisewski 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.
Which organization bills Medicare for David Cisewski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Cisewski reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 David Cisewski'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 David Cisewski was last updated on December 20, 2021. 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.
# David H Cisewski, M.D. · NPI 1366973810
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since March 27, 2017.
## Identity
- **NPI:** 1366973810 (Entity type: Individual)
- **Enumerated:** March 27, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUSTAVE L LEVY PL, BOX 1149, New York, NY 10029-6504
- **Phone:** (718) 924-0089
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2017
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366973810) · Data from the CMS NPPES public registry.