DR. JEROLD BARRY MILLENDORF MD
NPI 1609821354
Emergency Medicine in Wappingers Falls, NY
About Dr. Jerold Barry Millendorf Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEROLD BARRY MILLENDORF MD (NPI 1609821354) is an individual emergency medicine provider in Wappingers Falls, New York, licensed in New York (138710) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jerold Barry Millendorf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerold Millendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10465
- Reassigned Medicare billing, New York enrollment
- 37 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 12590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jerold Millendorf's NPI number?
The NPI number for Jerold Millendorf is 1609821354. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Jerold Millendorf located?
Jerold Millendorf practices at 1530 Route 9, Wappingers Falls, NY 12590. The listed phone number is (845) 297-2511.
What is Jerold Millendorf's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jerold Millendorf enrolled in Medicare?
Yes. Jerold Millendorf is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerold Millendorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerold Millendorf reassigns Medicare benefits to Urgent Care Physician Of New York-Hartsdale PLLC (Bronx, 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 Jerold Millendorf'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 Jerold Millendorf was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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. Jerold Barry Millendorf, MD · NPI 1609821354
Emergency Medicine physician in Wappingers Falls, New York. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1609821354 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 138710 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1530 ROUTE 9, Wappingers Falls, NY 12590-4131
- **Phone:** (845) 297-2511 · **Fax:** (845) 297-4993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Urgent Care Physician Of New York-Hartsdale PLLC (NPI 1770885808, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2010
- **Other identifiers:** Medicaid 01322870 (NY); Medicare UPIN A65133; Medicare ID-Type Unspecified 97A211 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1609821354) · Data from the CMS NPPES public registry.