1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Internal Medicine
  6. NPI Profile

DR. STEPHANIE CHRISTINE GERGOUDIS MD
NPI 1558948489
Internal Medicine in New York, NY

Active since March 26, 2021PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-6732 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stephanie Christine Gergoudis Md NPPES

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

DR. STEPHANIE CHRISTINE GERGOUDIS MD (NPI 1558948489) is an individual internal medicine provider in New York, New York, licensed in New York (330175) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558948489
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHANIE CHRISTINE GERGOUDISCredential: MD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-6732
Phone(212) 639-6732
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1558948489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 330175
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1275 YORK AVE, New York, NY 10065
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Christine Gergoudis Md 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

5

Medicare enrollment records show Stephanie Gergoudis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hematology Lymphoma Group
Same address
Hematology & Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 428 clinicians in this Medicare group
NPI 1891766366 (646) 227-3813
Memorial Medical Consultation Group
Same address
Internal Medicine
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 315 clinicians in this Medicare group
NPI 1053382523 (646) 227-3813
Mskcc Clinical Practice Plan
Same address
Urology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 248 clinicians in this Medicare group
NPI 1306096508 (212) 639-2000
Memorial Developmental Chemo Group
Same address
Medical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 259 clinicians in this Medicare group
NPI 1912978487 (646) 227-3813
Memorial Solid Tumor Group
Internal Medicine
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 514 clinicians in this Medicare group
NPI 1699746172 (646) 227-3813

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
$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.

MRS. ZANA CORREA NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 Stephanie Gergoudis's NPI number?

The NPI number for Stephanie Gergoudis is 1558948489. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Stephanie Gergoudis located?

Stephanie Gergoudis practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6732.

What is Stephanie Gergoudis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephanie Gergoudis enrolled in Medicare?

Yes. Stephanie Gergoudis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Gergoudis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Gergoudis reassigns Medicare benefits to 5 organizations: Memorial Hematology Lymphoma Group (New York, NY), Memorial Medical Consultation Group (New York, NY), Mskcc Clinical Practice Plan (New York, NY), Memorial Developmental Chemo Group (New York, NY) and Memorial Solid Tumor Group (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 Stephanie Gergoudis'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 Stephanie Gergoudis was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.