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ALYSSA MICHELLE CHURCHILL MD
NPI 1396242434
Pediatrics - Pediatric Cardiology in Bay Shore, NY

Active since April 06, 2018PECOS Enrolled
376 E MAIN ST STE 101, BAY SHORE, NY 11706(631) 539-5400 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Jun 26, 2025, Apr 29, 2021 (3 updates tracked since 2021).

About Alyssa Michelle Churchill Md NPPES

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

ALYSSA MICHELLE CHURCHILL MD (NPI 1396242434) is an individual pediatric cardiology provider in Bay Shore, New York, licensed in New York (309766) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396242434
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameALYSSA MICHELLE CHURCHILLCredential: MD
Location Address376 E MAIN ST STE 101Bay Shore, NY 11706-8441
Mailing Address376 E Main St Ste 101Bay Shore, NY 11706-8441 · (631) 539-5400
Phone(631) 539-5400
Sole ProprietorNo
Enumeration DateApril 6, 2018
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1396242434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 309766
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 309766 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
376 E MAIN ST STE 101, Bay Shore, NY 11706
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Michelle Churchill 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.

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 Alyssa Churchill's NPI number?

The NPI number for Alyssa Churchill is 1396242434. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Alyssa Churchill located?

Alyssa Churchill practices at 376 E Main St Ste 101, Bay Shore, NY 11706. The listed phone number is (631) 539-5400.

What is Alyssa Churchill's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Alyssa Churchill enrolled in Medicare?

Yes. Alyssa Churchill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Churchill was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.