Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OCTAVIA GEBREHIWOT M.D.
NPI 1477297174
Internal Medicine - Addiction Medicine in New York, NY

Active since April 27, 2022PECOS Enrolled
506 LENOX AVE, NEW YORK, NY 10037(212) 939-1000 Get Directions Write a Review

NPPES record last updated: October 4, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 4, 2026, May 20, 2026, Apr 28, 2022 (3 updates tracked since 2022).

About Octavia Gebrehiwot M.d. NPPES

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

OCTAVIA GEBREHIWOT M.D. (NPI 1477297174) is an individual addiction medicine provider in New York, New York, licensed in New York (343204) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477297174
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameOCTAVIA GEBREHIWOTCredential: M.D.
Location Address506 LENOX AVENew York, NY 10037-1802
Mailing Address506 Lenox AveNew York, NY 10037-1802
Sole ProprietorNo
Enumeration DateApril 27, 2022
Last NPPES UpdateOctober 4, 20263 updates tracked since enumeration
NPPES CertifiedOctober 4, 2026
✔ NPI 1477297174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in NY · 343204
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
506 LENOX AVE, New York, NY 10037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Octavia Gebrehiwot M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Radiology (Diagnostic Radiology)
506 LENOX AVE
NEW YORK, NY 10037
Emergency Medicine
506 LENOX AVE, SUITE 2-105
NEW YORK, NY 10037
Registered Nurse
506 LENOX AVE
NEW YORK, NY 10037
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
Emergency Medicine
506 LENOX AVE
NEW YORK, NY 10037
Dietitian, Registered
506 LENOX AVE
NEW YORK, NY 10037
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037

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 Octavia Gebrehiwot's NPI number?

The NPI number for Octavia Gebrehiwot is 1477297174. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Octavia Gebrehiwot located?

Octavia Gebrehiwot practices at 506 Lenox Ave, New York, NY 10037. The listed phone number is (212) 939-1000.

What is Octavia Gebrehiwot's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Octavia Gebrehiwot enrolled in Medicare?

Yes. Octavia Gebrehiwot is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Octavia Gebrehiwot was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.