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SAI SI ONE MD
NPI 1770756108
Family Medicine in Brooklyn, NY

Active since April 07, 2008PECOS EnrolledAccepts Medicare Assignment
5616 - 6TH AVENUE, BROOKLYN, NY 11220(718) 439-5440(718) 567-9772 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sai Si One Md NPPES

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

SAI SI ONE MD (NPI 1770756108) is an individual family medicine provider in Brooklyn, New York, licensed in New York (257764) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1770756108
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAI SI ONECredential: MD
Location Address5616 - 6TH AVENUEBrooklyn, NY 11220
Mailing Address5616 - 6th AvenueBrooklyn, NY 11220 · (718) 439-5440 · Fax (718) 439-6401
Phone(718) 439-5440
Fax(718) 567-9772
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 7, 2008
Last NPPES UpdateMay 19, 2011
✔ NPI 1770756108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 257764
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5616 - 6TH AVENUE, Brooklyn, NY 11220
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Other Identifiers 3

Medicare PINA400032614NY
Medicaid03247692NY
Other257764NY · License

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

Sai Si One Md 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 ID1759574213
PECOS Enrollment IDI20101018000505
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 Sai One reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
4.0 mi
Skilled Nursing Facility
594 ALBANY AVE
Brooklyn, NY 11203
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1184632945 (718) 245-2985

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 11220 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Sai One's NPI number?

The NPI number for Sai One is 1770756108. It was assigned to this individual provider in the NPPES registry on April 7, 2008.

Where is Sai One located?

Sai One practices at 5616 - 6th Avenue, Brooklyn, NY 11220. The listed phone number is (718) 439-5440.

What is Sai One's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sai One enrolled in Medicare?

Yes. Sai One 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 organization bills Medicare for Sai One's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sai One reassigns Medicare benefits to New York City Health And Hospitals Corporation (Brooklyn, 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 Sai One'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 Sai One was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.