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MENACHEM SPIRA MD
NPI 1568993756
Pediatrics in New York, NY

Active since March 21, 2017PECOS Enrolled
3959 BROADWAY # 517, NEW YORK, NY 10032(212) 305-5827 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Jan 31, 2023, Mar 21, 2017 (3 updates tracked since 2017).

About Menachem Spira Md NPPES

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

MENACHEM SPIRA MD (NPI 1568993756) is an individual pediatrics provider in New York, New York, licensed in New Jersey (25MA13177000) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568993756
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMENACHEM SPIRACredential: MD
Location Address3959 BROADWAY # 517New York, NY 10032-1559
Mailing Address3959 Broadway # 517New York, NY 10032-1559 · (718) 741-2426
Phone(212) 305-5827
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1568993756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA13177000✔ Licensed in NY · 304180
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.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 304180 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3959 BROADWAY # 517, New York, NY 10032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Menachem Spira 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

2

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

North Shore-Lij Medical PC
13 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Barnabas Health Medical Group PC
19 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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

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

NATALIE R. MONTI CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
3959 BROADWAY # 517
NEW YORK, NY 10032
New York County (212) 305-9862

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 Menachem Spira's NPI number?

The NPI number for Menachem Spira is 1568993756. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Menachem Spira located?

Menachem Spira practices at 3959 Broadway # 517, New York, NY 10032. The listed phone number is (212) 305-5827.

What is Menachem Spira's specialty?

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

Is Menachem Spira enrolled in Medicare?

Yes. Menachem Spira is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Menachem Spira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Menachem Spira reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Menachem Spira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Menachem Spira accept?

Health plans from Oscar Health list Menachem Spira 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 Menachem Spira was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.