DR. STEPHEN TSAI MD
NPI 1689638736
Pediatrics in New York, NY

Active since April 14, 2006PECOS Enrolled
227 MADISON ST, PEDIATRIC DEPARTMENT, NEW YORK, NY 10002(212) 238-7216 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Stephen Tsai Md NPPES

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

DR. STEPHEN TSAI MD (NPI 1689638736) is an individual pediatrics provider in New York, New York, licensed in New York (227796) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689638736
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. STEPHEN TSAICredential: MD
Location Address227 MADISON ST, PEDIATRIC DEPARTMENTNew York, NY 10002-7537
Mailing Address1265 15th St, Apt 11gFort Lee, NJ 07024-1947
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateJanuary 29, 2016
✔ NPI 1689638736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 227796
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.
227 MADISON ST, New York, NY 10002

Other Identifiers 1

Medicare UPINI28125NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Tsai Md 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 Stephen Tsai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skilled Nursing Facility
227 MADISON ST, MEDICAL STAFF OFFICE R-1249
New York, NY 10002
  • Reassigned Medicare billing, New York enrollment
  • 1,615 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 10002 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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Speech-Language Pathologist
227 MADISON ST
NEW YORK, NY 10002
Dentist
227 MADISON ST, MEDICAL STAFF
NEW YORK, NY 10002
Pediatrics
227 MADISON ST
NEW YORK, NY 10002
Occupational Therapist
227 MADISON ST, MEDICAL STAFF OFFICE, ROOM 1249
NEW YORK, NY 10002
Nurse Practitioner
227 MADISON ST
NEW YORK, NY 10002
Internal Medicine
227 MADISON ST
NEW YORK, NY 10002
Social Worker (Clinical)
227 MADISON ST
NEW YORK, NY 10002
Internal Medicine
227 MADISON ST
NEW YORK, NY 10002

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 Stephen Tsai's NPI number?

The NPI number for Stephen Tsai is 1689638736. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Stephen Tsai located?

Stephen Tsai practices at 227 Madison St Pediatric Department, New York, NY 10002. The listed phone number is (212) 238-7216.

What is Stephen Tsai's specialty?

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

Is Stephen Tsai enrolled in Medicare?

Yes. Stephen Tsai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Tsai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Tsai reassigns Medicare benefits to New York City Health And Hospitals Corporation (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 Stephen Tsai'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 Stephen Tsai was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.