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KATHERINE BECERRA
NPI 1417701459
Dentist in Newburgh, NY

Active since April 16, 2024PECOS Enrolled
419 ROBINSON AVE, NEWBURGH, NY 12550(845) 569-8900 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2026, May 23, 2025, Apr 16, 2024 (3 updates tracked since 2024).

About Katherine Becerra NPPES

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

KATHERINE BECERRA (NPI 1417701459) is an individual dentist in Newburgh, New York, licensed in New York (065699) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Square, and is a graduate of Tufts University School Of Dental Medicine (2025).

NPPES Registry Identity

NPI1417701459
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATHERINE BECERRA
Location Address419 ROBINSON AVENewburgh, NY 12550-3337
Mailing Address519 Grand AveNewburgh, NY 12550-1928 · (845) 549-3179
Phone(845) 569-8900
Sole ProprietorYes
Medical School CMSTufts University School Of Dental MedicineGraduated 2025
Enumeration DateApril 16, 2024
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1417701459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 065699
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
419 ROBINSON AVE, Newburgh, NY 12550
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Secondary Practice Location 1

Location 1728 N Main StNew Square, NY 10977-8916 · Phone (845) 354-9300

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2668932237
PECOS Enrollment IDI20260902002541
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 Katherine Becerra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Refuah Health Center Inc
26 mi
Federally Qualified Health Center (FQHC)
728 N MAIN ST
Spring Valley, NY 10977
  • Reassigned Medicare billing, New York enrollment
  • 206 clinicians in this Medicare group
NPI 1669470019 (845) 354-9300

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 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Becerra's NPI number?

The NPI number for Katherine Becerra is 1417701459. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Katherine Becerra located?

Katherine Becerra practices at 419 Robinson Ave, Newburgh, NY 12550. The listed phone number is (845) 569-8900.

What is Katherine Becerra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Katherine Becerra enrolled in Medicare?

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

Which organization bills Medicare for Katherine Becerra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Becerra reassigns Medicare benefits to Refuah Health Center Inc (Spring Valley, NY). 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 Katherine Becerra'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 Katherine Becerra was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.