Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. MICHAEL V. BACERDO RPA-C
NPI 1578568804
Physician Assistant - Surgical in New York, NY

Q: What is Michael Bacerdo's NPI number?

The NPI number for Michael Bacerdo is 1578568804. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Michael Bacerdo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bacerdo was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2005PECOS Enrolled

19 BEEKMAN ST, NEW YORK, NY 10038(212) 513-7711(212) 964-4861 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Michael V. Bacerdo Rpa-c NPPES

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

MR. MICHAEL V. BACERDO RPA-C (NPI 1578568804) is an individual surgical provider in New York, New York, licensed in New York (005310-1) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1578568804

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. MICHAEL V. BACERDOCredential: RPA-C

Location Address19 BEEKMAN STNew York, NY 10038-1522

Mailing Address19 Beekman StNew York, NY 10038-1522 · (212) 513-7711 · Fax (212) 964-4861

Phone(212) 513-7711

Fax(212) 964-4861

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 14, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1578568804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 005310-1

19 BEEKMAN ST, New York, NY 10038

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael V. Bacerdo Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426108341

PECOS Enrollment IDI20090615000178

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330119

Location100 East 77th StreetNew York, NY 10021 · New York County

Emergency services Birthing friendly

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

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