THERESA HETZLER MD
NPI 1619978293
Pediatrics in New York, NY
About Theresa Hetzler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA HETZLER MD (NPI 1619978293) is an individual pediatrics provider in New York, New York, licensed in Vermont (042.0013055) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.
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 (PECOS)
Theresa Hetzler Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Hetzler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Weill Medical College Of Cornell
- 980 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 10021 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
NEW YORK, NY 10021
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 Theresa Hetzler's NPI number?
The NPI number for Theresa Hetzler is 1619978293. It was assigned to this individual provider in the NPPES registry on August 9, 2005.
Where is Theresa Hetzler located?
Theresa Hetzler practices at 505 E 70th St, New York, NY 10021. The listed phone number is (212) 746-3303.
What is Theresa Hetzler's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Theresa Hetzler enrolled in Medicare?
Yes. Theresa Hetzler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Hetzler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Hetzler reassigns Medicare benefits to Weill Medical College Of Cornell University (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 Theresa Hetzler'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 Theresa Hetzler was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Theresa Hetzler, MD · NPI 1619978293
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 9, 2005.
## Identity
- **NPI:** 1619978293 (Entity type: Individual)
- **Enumerated:** August 9, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 042.0013055 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 E 70TH ST, New York, NY 10021-4872
- **Phone:** (212) 746-3303
## 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:** Weill Medical College Of Cornell University (NPI 1487933081, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2025
- **Other identifiers:** Medicaid 01263758 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1619978293) · Data from the CMS NPPES public registry.