ELAINE TSUKAYAMA MD
NPI 1578874459
Pediatrics in Utica, NY
About Elaine Tsukayama Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE TSUKAYAMA MD (NPI 1578874459) is an individual pediatrics provider in Utica, New York, licensed in New York (292820) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Elaine Tsukayama Md 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 Reassignments
3Medicare enrollment records show Elaine Tsukayama reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hartford, NY 13413
- Reassigned Medicare billing, New York enrollment
- 68 clinicians in this Medicare group
Binghamton, NY 13905
- Reassigned Medicare billing, New York enrollment
- 528 clinicians in this Medicare group
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 370 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UTICA, NY 13502
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 Elaine Tsukayama's NPI number?
The NPI number for Elaine Tsukayama is 1578874459. It was assigned to this individual provider in the NPPES registry on June 25, 2010.
Where is Elaine Tsukayama located?
Elaine Tsukayama practices at 117 Business Park Dr, Utica, NY 13502. The listed phone number is (315) 798-1543.
What is Elaine Tsukayama's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elaine Tsukayama enrolled in Medicare?
Yes. Elaine Tsukayama 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 organizations bill Medicare for Elaine Tsukayama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Tsukayama reassigns Medicare benefits to 3 organizations: Slocum Dickson Medical Group PLLC (New Hartford, NY), United Medical Associates PC (Binghamton, NY) and Kapiolani Medical Specialists (Honolulu, HI). 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 Elaine Tsukayama'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 Elaine Tsukayama was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elaine Tsukayama, MD · NPI 1578874459
Pediatrics physician in Utica, New York. Individual provider, active in the CMS NPPES registry since June 25, 2010.
## Identity
- **NPI:** 1578874459 (Entity type: Individual)
- **Enumerated:** June 25, 2010
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 292820 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 117 BUSINESS PARK DR, Utica, NY 13502-6303
- **Phone:** (315) 798-1543
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Slocum Dickson Medical Group PLLC (NPI 1285625996, New Hartford, NY); United Medical Associates PC (NPI 1013972801, Binghamton, NY); Kapiolani Medical Specialists (NPI 1124071014, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** September 21, 2023
- **Other identifiers:** Medicaid 05081741 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1578874459) · Data from the CMS NPPES public registry.