DR. CLYDE MATTHEW NILES M.D.
NPI 1578829065
Anesthesiology in New York, NY
About Dr. Clyde Matthew Niles M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLYDE MATTHEW NILES M.D. (NPI 1578829065) is an individual anesthesiology provider in New York, New York, licensed in New York (283716) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Clyde Matthew Niles M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Clyde Niles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Clyde Niles's NPI number?
The NPI number for Clyde Niles is 1578829065. It was assigned to this individual provider in the NPPES registry on April 9, 2012.
Where is Clyde Niles located?
Clyde Niles practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-9876.
What is Clyde Niles's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Clyde Niles enrolled in Medicare?
Yes. Clyde Niles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Clyde Niles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Niles reassigns Medicare benefits to Noam Kurtis MD PC (New York, NY). The 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 Clyde Niles'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 Clyde Niles was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Clyde Matthew Niles, M.D. · NPI 1578829065
Anesthesiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 9, 2012.
## Identity
- **NPI:** 1578829065 (Entity type: Individual)
- **Enumerated:** April 9, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 283716 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 622 W 168TH ST, New York, NY 10032-3720
- **Phone:** (212) 305-9876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Noam Kurtis MD PC (NPI 1881949055, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2012
## Record status
- **NPPES last updated:** November 28, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578829065) · Data from the CMS NPPES public registry.