DR. FREDRIC BOMBACK MD
NPI 1417935628
Pediatrics in Hartsdale, NY
About Dr. Fredric Bomback Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FREDRIC BOMBACK MD (NPI 1417935628) is an individual pediatrics provider in Hartsdale, New York, licensed in New York (106826) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 12
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Fredric Bomback Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Fredric Bomback reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rye Brook, NY 10573
- Reassigned Medicare billing, New York enrollment
- 470 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fredric Bomback's NPI number?
The NPI number for Fredric Bomback is 1417935628. It was assigned to this individual provider in the NPPES registry on January 6, 2006.
Where is Fredric Bomback located?
Fredric Bomback practices at 99 Fieldstone Dr, Hartsdale, NY 10530. The listed phone number is (914) 428-2120.
What is Fredric Bomback's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Fredric Bomback enrolled in Medicare?
Yes. Fredric Bomback is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Fredric Bomback's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fredric Bomback reassigns Medicare benefits to 2 organizations: Westchester Medical Group, P.C. (Rye Brook, NY) and Trustees Of Columbia University In The City Of New York (New York, 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 Fredric Bomback'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 Fredric Bomback was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Fredric Bomback, MD · NPI 1417935628
Pediatrics physician in Hartsdale, New York. Individual provider, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1417935628 (Entity type: Individual)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 106826 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 99 FIELDSTONE DR, Hartsdale, NY 10530-1564
- **Phone:** (914) 428-2120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Westchester Medical Group, P.C. (NPI 1881653822, Rye Brook, NY); Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2014
- **Other identifiers:** Other 132625705 (NY); Medicare UPIN F62445 (NY); Other 0124825 (NY); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1417935628) · Data from the CMS NPPES public registry.