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DR. CARL A NICOLEAU MD PHD
NPI 1396792867
Internal Medicine in Far Rockaway, NY

Active since May 28, 2006PECOS Enrolled
2008 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691(718) 565-6880(877) 796-4457 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Carl A Nicoleau Md Phd NPPES

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

DR. CARL A NICOLEAU MD PHD (NPI 1396792867) is an individual internal medicine provider in Far Rockaway, New York, licensed in New York (180270) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396792867
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARL A NICOLEAUCredential: MD PHD
Location Address2008 SEAGIRT BLVDFar Rockaway, NY 11691-2803
Mailing Address2008 Seagirt BlvdFar Rockaway, NY 11691-2803 · (718) 565-6880 · Fax (877) 796-4457
Phone(718) 565-6880
Fax(877) 796-4457
Sole ProprietorYes
Enumeration DateMay 28, 2006
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1396792867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 180270
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.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 141096 (NY)
2008 SEAGIRT BLVD, Far Rockaway, NY 11691
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Secondary Practice Locations 2

Location 13712 92nd St Fl 2Jackson Heights, NY 11372-7930 · Phone (718) 565-6880 · Fax (877) 796-4457
Location 26315 Roosevelt AveWoodside, NY 11377-3641 · Phone (718) 565-6880 · Fax (877) 796-4457

Other Identifiers 2

Other180270NY · State License
Medicaid01454842NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl A Nicoleau Md Phd 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 Reassignments

3

Medicare enrollment records show Carl Nicoleau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jackson Heights Medical Care PC
Same address
Sleep Medicine
2008 SEAGIRT BLVD
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
NPI 1003250762 (718) 565-6880
Dr. Salibs Medical Practice PC
9.2 mi
Neuromusculoskeletal Medicine, Sports Medicine
11622 QUEENS BLVD
Forest Hills, NY 11375
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1518479898 (718) 793-4000
Cesare Saponieri, MD, Facc, PLLC
13 mi
Clinical Cardiac Electrophysiology
208 AVENUE U
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1740223353 (631) 366-0390

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

Areas of Expertise CMS Part B claims 4

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.
36 services21 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.
27 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services11 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims24 services$5.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACKSON HEIGHTS MEDICAL CARE PC
Internal Medicine (Sleep Medicine)
2008 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 565-6880
TANESHA DAVIS
Counselor (Mental Health)
2008 SEAGIRT BLVD, #1F
FAR ROCKAWAY, NY 11691
Queens County (718) 471-4881
JUDITH MONVIL
Counselor (Mental Health)
2008 SEAGIRT BLVD, 1F
FAR ROCKAWAY, NY 11691
Queens County (718) 471-4881
JEWISH BOARD OF FAMILY & CHILDREN'S SERVICES
Community/Behavioral Health
2008 SEAGIRT BLVD, 1F
FAR ROCKAWAY, NY 11691
Queens County (718) 471-4881
AYESHA MARKS
Licensed Practical Nurse
2008 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 828-2666
EAST ELMHURST PRIMARY MEDICAL CARE, PLLC
Internal Medicine (Sleep Medicine)
2008 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 565-6880
MICHELE ELLIS LCSW
Social Worker (Clinical)
2008 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 471-4881

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 Carl Nicoleau's NPI number?

The NPI number for Carl Nicoleau is 1396792867. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Carl Nicoleau located?

Carl Nicoleau practices at 2008 Seagirt Blvd, Far Rockaway, NY 11691. The listed phone number is (718) 565-6880.

What is Carl Nicoleau's specialty?

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

Is Carl Nicoleau enrolled in Medicare?

Yes. Carl Nicoleau is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carl Nicoleau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Nicoleau reassigns Medicare benefits to 3 organizations: Jackson Heights Medical Care PC (Far Rockaway, NY), Dr. Salibs Medical Practice PC (Forest Hills, NY) and Cesare Saponieri, MD, Facc, PLLC (Brooklyn, NY). Each 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 Carl Nicoleau'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 Carl Nicoleau was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.