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DR. ANDRE DANIEL IMMANUEL MD
NPI 1396273355
Internal Medicine in Brooklyn, NY

Active since June 02, 2017PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1000 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andre Daniel Immanuel Md NPPES

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

DR. ANDRE DANIEL IMMANUEL MD (NPI 1396273355) is an individual internal medicine provider in Brooklyn, New York, licensed in Connecticut (69629) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396273355
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDRE DANIEL IMMANUELCredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address400 E Mosholu Pkwy S Apt B5Bronx, NY 10458-1747 · (240) 273-6395
Phone(718) 270-1000
Sole ProprietorNo
Enumeration DateJune 2, 2017
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1396273355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 69629
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.
450 CLARKSON AVE, Brooklyn, NY 11203
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Other Names 1

Former Name (1)Dr. Andre Lekouna Tingu Andre Lekouna Tingu

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre Daniel Immanuel 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.

Medicare Billing Reassignment

Medicare enrollment records show Andre Immanuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity Health Of New England Provider Network Organization Inc
101 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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 20

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

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

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 Andre Immanuel's NPI number?

The NPI number for Andre Immanuel is 1396273355. It was assigned to this individual provider in the NPPES registry on June 2, 2017. The provider is also known as Dr. Andre Lekouna Tingu Andre Lekouna Tingu.

Where is Andre Immanuel located?

Andre Immanuel practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1000.

What is Andre Immanuel's specialty?

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

Is Andre Immanuel enrolled in Medicare?

Yes. Andre Immanuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andre Immanuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Immanuel reassigns Medicare benefits to Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). 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 Andre Immanuel'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 Andre Immanuel was last updated on October 25, 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.