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KELLY HAQUE
NPI 1518200203
Pediatrics - Pediatric Critical Care Medicine in New York, NY

Active since April 01, 2013PECOS Enrolled
525 E 68TH ST # M-508, NEW YORK, NY 10065(212) 746-3017 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 22, 2020, Apr 24, 2018 (2 updates tracked since 2018).

About Kelly Haque NPPES

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

KELLY HAQUE (NPI 1518200203) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (284408) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518200203
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKELLY HAQUE
Location Address525 E 68TH ST # M-508New York, NY 10065-4870
Mailing Address525 E 68th St # M-508New York, NY 10065-4870
Phone(212) 746-3017
Sole ProprietorYes
Enumeration DateApril 1, 2013
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1518200203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 284408
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
525 E 68TH ST # M-508, 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)

Kelly Haque 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

3

Medicare enrollment records show Kelly Haque reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Weill Medical College Of Cornell
Same address
Internal Medicine
1300 YORK AVE, BOX 585
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1124170212 (212) 590-5741
Memorial Pediatric Group
0.1 mi
Pediatrics
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 220 clinicians in this Medicare group
NPI 1750352381 (646) 227-3813
Trustees Of Columbia University In The City Of New York
5.4 mi
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

KINJAL DESAI MD
Pediatrics (Pediatric Critical Care Medicine)
525 E 68TH ST # M-508
NEW YORK, NY 10065
New York County (212) 746-0308

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 Kelly Haque's NPI number?

The NPI number for Kelly Haque is 1518200203. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Kelly Haque located?

Kelly Haque practices at 525 E 68th St # M-508, New York, NY 10065. The listed phone number is (212) 746-3017.

What is Kelly Haque's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kelly Haque enrolled in Medicare?

Yes. Kelly Haque is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Haque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Haque reassigns Medicare benefits to 3 organizations: Weill Medical College Of Cornell (New York, NY), Memorial Pediatric Group (New York, 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 Kelly Haque'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 Kelly Haque was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.