1. Home
  2. Directory
  3. New York
  4. Glen Oaks
  5. Pediatrics
  6. NPI Profile

DR. DEBORA SIMCHA SEMEL M.D.
NPI 1659510709
Pediatrics in Glen Oaks, NY

Active since February 12, 2009PECOS Enrolled
26508 74TH AVE APT F1, GLEN OAKS, NY 11004(516) 627-3542(516) 627-3542 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Debora Simcha Semel M.d. NPPES

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

DR. DEBORA SIMCHA SEMEL M.D. (NPI 1659510709) is an individual pediatrics provider in Glen Oaks, New York, licensed in New York (249389-1) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659510709
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. DEBORA SIMCHA SEMELCredential: M.D.
Location Address26508 74TH AVE APT F1Glen Oaks, NY 11004-1167
Mailing Address26508 74th Ave Apt F1Glen Oaks, NY 11004-1167 · (516) 627-3542 · Fax (516) 627-3542
Phone(516) 627-3542
Fax(516) 627-3542
Sole ProprietorNo
Enumeration DateFebruary 12, 2009
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1659510709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 249389-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
26508 74TH AVE APT F1, Glen Oaks, NY 11004
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Debora Simcha Bernheim M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Debora Simcha Semel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Debora Semel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,442 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 11004 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Debora Semel's NPI number?

The NPI number for Debora Semel is 1659510709. It was assigned to this individual provider in the NPPES registry on February 12, 2009. The provider is also known as Dr. Debora Simcha Bernheim M.D..

Where is Debora Semel located?

Debora Semel practices at 26508 74th Ave Apt F1, Glen Oaks, NY 11004. The listed phone number is (516) 627-3542.

What is Debora Semel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Debora Semel enrolled in Medicare?

Yes. Debora Semel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Debora Semel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debora Semel reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Debora Semel'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 Debora Semel was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.