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DR. EMMANOUIL PAPPOU M.D., PH.D.
NPI 1649477050
Colon & Rectal Surgery in New York, NY

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
161 FORT WASHINGTON AVE, 8TH FLOOR, NEW YORK, NY 10032(212) 342-1155(212) 305-0267 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2017, Dec 13, 2016 (2 updates tracked since 2016).

About Dr. Emmanouil Pappou M.d., Ph.d. NPPES

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

DR. EMMANOUIL PAPPOU M.D., PH.D. (NPI 1649477050) is an individual colon & rectal surgery provider in New York, New York, licensed in New York (277354-1) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649477050
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. EMMANOUIL PAPPOUCredential: M.D., PH.D.
Location Address161 FORT WASHINGTON AVE, 8TH FLOORNew York, NY 10032-3729
Mailing Address427 Washington AveCliffside Park, NJ 07010-1815 · (443) 717-2541
Phone(212) 342-1155
Fax(212) 305-0267
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 29, 2007
Last NPPES UpdateAugust 15, 20172 updates tracked since enumeration
✔ NPI 1649477050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 277354-1
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 277354-1 (NY)
161 FORT WASHINGTON AVE, New York, NY 10032
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Other Identifiers 2

Medicare UPINA400122069NY
Medicaid04100501NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Dr. Emmanouil Pappou M.d., Ph.d. 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.

PECOS PAC ID2769631522
PECOS Enrollment IDI20150602001044, I20180109001770
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Emmanouil Pappou reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mskcc Surgery Group
5.3 mi
Surgical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 452 clinicians in this Medicare group
NPI 1699766261 (646) 227-3813
Memorial Medical Care PC
15 mi
Surgical Oncology
2236 NOSTRAND AVE
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 36 clinicians in this Medicare group
NPI 1275258048 (212) 639-2000
Msk Bergen
16 mi
Medical Oncology
225 SUMMIT AVE
Montvale, NJ 07645
  • Reassigned Medicare billing, New Jersey enrollment
  • 401 clinicians in this Medicare group
NPI 1558814657 (908) 542-3336
Msk Monmouth
34 mi
Medical Oncology
480 RED HILL RD
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group
NPI 1922459163 (908) 542-3007

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services106 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services110 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
123 services92 patients
Biopsy of lower large bowel using a flexible endoscope 45331
A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.
92 services77 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
85 services85 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers38 claims940 services$3.23 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers60 claims1,470 services$4.78 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
3 suppliers17 claims405 services$8.83 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers34 claims437 services$2.41 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers37 claims1,000 services$8.36 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers11 claims460 services$4.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MAUREEN LICURSI CPNP
Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-2466
BARBARA THERESE ROBBINS APRN-BC
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
New York County (212) 342-0886
VARSHA JOHN
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5221
MICHELLE BENGAL PA
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (818) 614-2424
DR. NICOLA CORVAJA M.D.
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 342-3616
RACHEL CONYBEARE N.P.
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
New York County (212) 305-5275
DR. SUNEETA KRISHNAREDDY MD
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2323
DAVID M WEINER MD
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-0114

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 Emmanouil Pappou's NPI number?

The NPI number for Emmanouil Pappou is 1649477050. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Emmanouil Pappou located?

Emmanouil Pappou practices at 161 Fort Washington Ave 8th Floor, New York, NY 10032. The listed phone number is (212) 342-1155.

What is Emmanouil Pappou's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Emmanouil Pappou enrolled in Medicare?

Yes. Emmanouil Pappou 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 Emmanouil Pappou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmanouil Pappou reassigns Medicare benefits to 4 organizations: Mskcc Surgery Group (New York, NY), Memorial Medical Care PC (Brooklyn, NY), Msk Bergen (Montvale, NJ) and Msk Monmouth (Middletown, NJ). 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 Emmanouil Pappou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emmanouil Pappou accept?

Health plans from Oscar Health list Emmanouil Pappou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanouil Pappou was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.