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KIERAN ELLIOT PALUMBO
NPI 1699425850
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 28, 2022PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-4417 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kieran Elliot Palumbo NPPES

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

KIERAN ELLIOT PALUMBO (NPI 1699425850) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699425850
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIERAN ELLIOT PALUMBO
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4417 · Fax (718) 920-8375
Phone(718) 920-4417
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1699425850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kieran Elliot Palumbo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234643826
PECOS Enrollment IDI20250707003034
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 Kieran Palumbo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Kieran Palumbo's NPI number?

The NPI number for Kieran Palumbo is 1699425850. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Kieran Palumbo located?

Kieran Palumbo practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4417.

What is Kieran Palumbo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kieran Palumbo enrolled in Medicare?

Yes. Kieran Palumbo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kieran Palumbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kieran Palumbo reassigns Medicare benefits to Montefiore Medical Center (Bronx, 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 Kieran Palumbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kieran Palumbo affiliated with any hospitals?

According to CMS data, Kieran Palumbo is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kieran Palumbo was last updated on March 28, 2022. 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.