EDWARD JOHN BROCCOLI MD
NPI 1609866060
Anesthesiology in Chappaqua, NY
About Edward John Broccoli Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD JOHN BROCCOLI MD (NPI 1609866060) is an individual anesthesiology provider in Chappaqua, New York, licensed in New York (1934481) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
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
Edward John Broccoli 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
5Medicare enrollment records show Edward Broccoli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chappaqua, NY 10514
- Reassigned Medicare billing, New York enrollment
Chappaqua, NY 10514
- Reassigned Medicare billing, New York enrollment
- 1,406 clinicians in this Medicare group
Mount Vernon, NY 10550
- Reassigned Medicare billing, New York enrollment
- 140 clinicians in this Medicare group
Suffern, NY 10901
- Reassigned Medicare billing, New York enrollment
- 106 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New York-Presbyterian Hospital
Acute Care Hospitals · New York, NYOther Providers at the Same Location NPPES 3
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 Edward Broccoli's NPI number?
The NPI number for Edward Broccoli is 1609866060. It was assigned to this individual provider in the NPPES registry on October 26, 2005.
Where is Edward Broccoli located?
Edward Broccoli practices at 16 S Bedford Rd 3W, Chappaqua, NY 10514. The listed phone number is (914) 844-2864.
What is Edward Broccoli's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Edward Broccoli enrolled in Medicare?
Yes. Edward Broccoli 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 Edward Broccoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Broccoli reassigns Medicare benefits to 5 organizations: Westchester Ambulatory Anesthesia, PLLC (Chappaqua, NY), North Shore - Lij Anesthesiology, PC (Chappaqua, NY), Montefiore Mount Vernon Hospital (Mount Vernon, NY), Ramapo Anesthesiologists, PC (Suffern, NY) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Edward Broccoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edward Broccoli affiliated with any hospitals?
According to CMS data, Edward Broccoli is affiliated with New York-Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Edward Broccoli was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Edward John Broccoli, MD · NPI 1609866060
Anesthesiology physician in Chappaqua, New York. Individual provider, active in the CMS NPPES registry since October 26, 2005.
## Identity
- **NPI:** 1609866060 (Entity type: Individual)
- **Enumerated:** October 26, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 1934481 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 16 S BEDFORD RD, 3W, Chappaqua, NY 10514-3464
- **Phone:** (914) 844-2864
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Westchester Ambulatory Anesthesia, PLLC (NPI 1538616487, Chappaqua, NY); North Shore - Lij Anesthesiology, PC (NPI 1417401266, Chappaqua, NY); Montefiore Mount Vernon Hospital (NPI 1013345065, Mount Vernon, NY); Ramapo Anesthesiologists, PC (NPI 1235151002, Suffern, NY); Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** January 11, 2024
- **Other identifiers:** Other 0004487677 (NY); Other 5398369 (NY); Other 8K819 (NY); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1609866060) · Data from the CMS NPPES public registry.