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DR. AISHA KIMBERLY PRIM M.D.
NPI 1487749685
Pediatrics in Bronx, NY

Active since October 04, 2006PECOS Enrolled
2780 RESERVOIR AVE, BRONX, NY 10468(718) 329-8589(718) 527-5624 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Aisha Kimberly Prim M.d. NPPES

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

DR. AISHA KIMBERLY PRIM M.D. (NPI 1487749685) is an individual pediatrics provider in Bronx, New York, licensed in New York (216856) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487749685
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AISHA KIMBERLY PRIMCredential: M.D.
Location Address2780 RESERVOIR AVEBronx, NY 10468-2702
Mailing Address352 Hussey RdMount Vernon, NY 10552-2338
Phone(718) 329-8589
Fax(718) 527-5624
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1487749685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 216856
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2780 RESERVOIR AVE, Bronx, NY 10468
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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. Aisha Kimberly Prim 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 Reassignments

2

Medicare enrollment records show Aisha Prim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
1.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Morris Heights Health Center, Inc.
1.3 mi
Federally Qualified Health Center (FQHC)
85 W BURNSIDE AVE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
NPI 1184694291 (718) 716-4400

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 10468 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HERBERT FREDERICK DAUGHTRY LMSW
Social Worker (School)
2780 RESERVOIR AVE
BRONX, NY 10468
Bronx County (718) 329-8589
MRS. VICTORIA SIEGEL M.A. CCC-SLP, TSSLD
Speech-Language Pathologist
2780 RESERVOIR AVE, ROOM 137
BRONX, NY 10468
Bronx County (718) 329-7380
DR. SHAWN K BOWEN MD
Pediatrics
2780 RESERVOIR AVE
BRONX, NY 10468
Bronx County (718) 364-2450
MRS. OLGA VICTOR LCSW
Social Worker (Clinical)
2780 RESERVOIR AVE
BRONX, NY 10468
Bronx County (718) 329-8589

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 Aisha Prim's NPI number?

The NPI number for Aisha Prim is 1487749685. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Aisha Prim located?

Aisha Prim practices at 2780 Reservoir Ave, Bronx, NY 10468. The listed phone number is (718) 329-8589.

What is Aisha Prim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Aisha Prim enrolled in Medicare?

Yes. Aisha Prim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Aisha Prim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aisha Prim reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Morris Heights Health Center, Inc. (Bronx, 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 Aisha Prim'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 Aisha Prim was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.