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MARYANNE REGINA CHRISANT MD
NPI 1568476455
Pediatrics - Pediatric Cardiology in Bronx, NY

Active since July 28, 2006PECOS Enrolled
3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2025, Apr 19, 2021, Mar 16, 2021 and 2 more (5 updates tracked since 2018).

About Maryanne Regina Chrisant Md NPPES

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

MARYANNE REGINA CHRISANT MD (NPI 1568476455) is an individual pediatric cardiology provider in Bronx, New York, licensed in New York (177066) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of New York Medical College (1986).

NPPES Registry Identity

NPI1568476455
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameMARYANNE REGINA CHRISANTCredential: MD
Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1986
Enumeration DateJuly 28, 2006
Last NPPES UpdateDecember 9, 20255 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1568476455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in NY · 177066✔ Licensed in FL · ME107102
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3415 BAINBRIDGE AVE, Bronx, NY 10467
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Other Names 1

Former Name (1)Maryanne Regina Kichuk Md

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

Other Identifiers 1

Medicaid002152100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryanne Regina Chrisant Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315034311
PECOS Enrollment IDI20250417002554
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 Maryanne Chrisant 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
0.1 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
South Broward Hospital District
1,049 mi
Pediatric Rehabilitation Medicine
3377 S STATE ROAD 7
Wellington, FL 33449
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1568030138 (954) 276-1600

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 20

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

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

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 Maryanne Chrisant's NPI number?

The NPI number for Maryanne Chrisant is 1568476455. It was assigned to this individual provider in the NPPES registry on July 28, 2006. The provider is also known as Maryanne Regina Kichuk MD.

Where is Maryanne Chrisant located?

Maryanne Chrisant practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Maryanne Chrisant's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Maryanne Chrisant enrolled in Medicare?

Yes. Maryanne Chrisant is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maryanne Chrisant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryanne Chrisant reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and South Broward Hospital District (Wellington, FL). 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 Maryanne Chrisant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryanne Chrisant accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Maryanne Chrisant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryanne Chrisant was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.