DR. LEROY NICKLES M.D.
NPI 1710070412
Emergency Medicine in New York, NY
About Dr. Leroy Nickles M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LEROY NICKLES M.D. (NPI 1710070412) is an individual emergency medicine provider in New York, New York, licensed in New York (236503) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Leroy Nickles M.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.
Medicare Billing Reassignments
9Medicare enrollment records show Leroy Nickles reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 124 clinicians in this Medicare group
Summit, NJ 07901
- Reassigned Medicare billing, New Jersey enrollment
- 436 clinicians in this Medicare group
Mount Holly, NJ 08060
- Reassigned Medicare billing, New Jersey enrollment
- 248 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 201 clinicians in this Medicare group
Waterbury, CT 06708
- Reassigned Medicare billing, Connecticut enrollment
- 125 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- 332 clinicians in this Medicare group
Hanover, PA 17331
- Reassigned Medicare billing, Pennsylvania enrollment
- 298 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Observation Emergency Physicians PC
- 158 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Name Medical Center
Acute Care Hospitals · Teaneck, NJLehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10011
NEW YORK, NY 10011
NEW YORK, NY 10011
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 Leroy Nickles's NPI number?
The NPI number for Leroy Nickles is 1710070412. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Leroy Nickles located?
Leroy Nickles practices at 170 W 12th St Emergency Dept Administration, New York, NY 10011. The listed phone number is (212) 604-2590.
What is Leroy Nickles's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Leroy Nickles enrolled in Medicare?
Yes. Leroy Nickles 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 Leroy Nickles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leroy Nickles reassigns Medicare benefits to 9 organizations: New Jersey Medical And Health Associates,llc (Hoboken, NJ), Emergency Physician Associates Of North Jersey P C (Summit, NJ), Emergency Physician Services Of New Jersey,professional Association (Mount Holly, NJ), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY), Emergency Physicians Of Connecticut PC (Waterbury, CT) and 4 more organizations, listed in the Medicare section above. 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 Leroy Nickles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leroy Nickles accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Leroy Nickles 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.
Is Leroy Nickles affiliated with any hospitals?
According to CMS data, Leroy Nickles is affiliated with Holy Name Medical Center and Lehigh Valley Hospital - Pocono.
When was this NPI record last updated?
The NPPES record for Leroy Nickles was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Leroy Nickles, M.D. · NPI 1710070412
Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1710070412 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 236503 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 W 12TH ST, EMERGENCY DEPT ADMINISTRATION, New York, NY 10011-8202
- **Phone:** (212) 604-2590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): New Jersey Medical And Health Associates,llc (NPI 1558673582, Hoboken, NJ); Emergency Physician Associates Of North Jersey P C (NPI 1497783419, Summit, NJ); Emergency Physician Services Of New Jersey,professional Association (NPI 1831539568, Mount Holly, NJ); Emergency Physician Services Of New York, P.C. (NPI 1093759847, Poughkeepsie, NY); Emergency Physicians Of Connecticut PC (NPI 1902278906, Waterbury, CT); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2002
## Record status
- **NPPES last updated:** March 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710070412) · Data from the CMS NPPES public registry.