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DR. FAIRYAL KASSAM M.D.
NPI 1477841237
Family Medicine in New York, NY

Active since July 14, 2011PECOS Enrolled
201 E 65TH ST, NEW YORK, NY 10065(212) 847-4700 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Fairyal Kassam M.d. NPPES

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

DR. FAIRYAL KASSAM M.D. (NPI 1477841237) is an individual family medicine provider in New York, New York, licensed in Washington (MD60491262) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477841237
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FAIRYAL KASSAMCredential: M.D.
Location Address201 E 65TH STNew York, NY 10065-6701
Mailing Address14516 99th Ave NeBothell, WA 98011-7274
Phone(212) 847-4700
Sole ProprietorNo
Enumeration DateJuly 14, 2011
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1477841237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60491262
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 E 65TH ST, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fairyal Kassam 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.

Medicare Billing Reassignment

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

Care Talk Health Fl PA
207 mi
Public Health & General Preventive Medicine
4849 RUGBY AVE
Bethesda, MD 20814
  • Reassigned Medicare billing, Washington enrollment
  • 6 clinicians in this Medicare group
NPI 1477263077 (855) 702-6565

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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

KAYLEEN ESLINGER RD
Dietitian, Registered
201 E 65TH ST
NEW YORK, NY 10065
New York County (332) 263-4278
DANIELLE ROLEWSKI
Physician Assistant
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 879-4700
JESSICA MARIE DIAZ PHYSICIAN ASSISTANT
Physician Assistant
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 906-7798
DR. SUNANDA CHUGH MD
Internal Medicine
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 879-4700
YESIKA GARCIA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 879-4700
MARLA GABRIELE PA-C
Physician Assistant
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 879-4700
PEGGY-ROSE BOKENG ELANGO D.O.
Internal Medicine
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 879-4700
KEVIN T CHEN PA-C
Physician Assistant
201 E 65TH ST
NEW YORK, NY 10065
New York County (212) 879-4700

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 Fairyal Kassam's NPI number?

The NPI number for Fairyal Kassam is 1477841237. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Fairyal Kassam located?

Fairyal Kassam practices at 201 E 65th St, New York, NY 10065. The listed phone number is (212) 847-4700.

What is Fairyal Kassam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fairyal Kassam enrolled in Medicare?

Yes. Fairyal Kassam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fairyal Kassam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fairyal Kassam reassigns Medicare benefits to Care Talk Health Fl PA (Bethesda, MD). 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 Fairyal Kassam'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 Fairyal Kassam was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.