WESTSIDE MEDICAL
NPI 1639388960
Internal Medicine - Pulmonary Disease in New York, NY

Active since May 22, 2007
137 W 96TH ST, NEW YORK, NY 10025(212) 749-7400(718) 616-0544 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Westside Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE MEDICAL (NPI 1639388960) is a healthcare organization registered as a pulmonary disease in New York, New York and active in the NPI registry since May 2007. The organization lists Philipp Pifko, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1639388960
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameWESTSIDE MEDICAL
Location Address137 W 96TH STNew York, NY 10025-6403
Mailing Address2610 E 18th St, Suite 1Brooklyn, NY 11235-3622 · (718) 934-9720 · Fax (718) 616-0544
Fax(718) 616-0544
Organization SubpartNo
Authorized OfficialPhilipp PifkoBilling Manager · (718) 934-9720
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1639388960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
137 W 96TH ST, New York, NY 10025

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Westside Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111115000003Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Westside Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1841353745
137 W 96TH ST
New York, NY 10025
(212) 749-7400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1477597367
1 BROOKDALE PLAZA TJH MEDICAL SERVICES PC RM 107 AARON
Brooklyn, NY 11212
(718) 240-5236
✔ PECOS10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Westside Medical's NPI number?

The NPI number for Westside Medical is 1639388960. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Westside Medical located?

Westside Medical is located at 137 W 96th St, New York, NY 10025. The listed phone number is (212) 749-7400.

What is Westside Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Westside Medical enrolled in Medicare?

Yes. Westside Medical is registered in the Medicare PECOS enrollment system.

When is Westside Medical's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Westside Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Westside Medical. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Westside Medical was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.