FABIUS MEKONTCHOU NP
NPI 1508106287
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since February 18, 2013PECOS Enrolled
2054 TILLOTSON AVE, BRONX, NY 10475(718) 671-2100 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2021, Apr 1, 2021 (2 updates tracked since 2021).

About Fabius Mekontchou Np NPPES

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

FABIUS MEKONTCHOU NP (NPI 1508106287) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (F403247) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508106287
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFABIUS MEKONTCHOUCredential: NP
Location Address2054 TILLOTSON AVEBronx, NY 10475-1560
Mailing Address2601 Ocean PkwyBrooklyn, NY 11235-7745 · (347) 615-4803
Sole ProprietorNo
Enumeration DateFebruary 18, 2013
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1508106287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F403247
2054 TILLOTSON AVE, Bronx, NY 10475

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fabius Mekontchou Np 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 Fabius Mekontchou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
45 ST JOHN ST
Goshen, NY 10924
  • Reassigned Medicare billing, New York enrollment
  • 2 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 10475 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 20

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

Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Licensed Practical Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Nurse Practitioner (Family)
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475
Registered Nurse
2054 TILLOTSON AVE
BRONX, NY 10475

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 Fabius Mekontchou's NPI number?

The NPI number for Fabius Mekontchou is 1508106287. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Fabius Mekontchou located?

Fabius Mekontchou practices at 2054 Tillotson Ave, Bronx, NY 10475. The listed phone number is (718) 671-2100.

What is Fabius Mekontchou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Fabius Mekontchou enrolled in Medicare?

Yes. Fabius Mekontchou is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fabius Mekontchou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fabius Mekontchou reassigns Medicare benefits to 2 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and Orange County Np In Psychiatry PLLC (Goshen, 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 Fabius Mekontchou'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 Fabius Mekontchou was last updated on April 27, 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.