ONE ELEVEN MEDICAL, PC
NPI 1770949117
Internal Medicine - Gastroenterology in New York, NY
About One Eleven Medical, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ONE ELEVEN MEDICAL, PC (NPI 1770949117) is a healthcare organization registered as a gastroenterology in New York, New York and active in the NPI registry since January 2016. The organization lists Michael Krumholz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
One Eleven Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to One Eleven Medical, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 One Eleven Medical, PC's NPI number?
The NPI number for One Eleven Medical, PC is 1770949117. It was assigned to this organization in the NPPES registry on January 14, 2016.
Where is One Eleven Medical, PC located?
One Eleven Medical, PC is located at 111 E 80th St Suite 1C, New York, NY 10075. The listed phone number is (212) 734-5533.
What is One Eleven Medical, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is One Eleven Medical, PC enrolled in Medicare?
Yes. One Eleven Medical, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through One Eleven Medical, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to One Eleven Medical, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for One Eleven Medical, PC was last updated on January 14, 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.
# One Eleven Medical, Pc · NPI 1770949117
Gastroenterology organization in New York, New York. Organization record, active in the CMS NPPES registry since January 14, 2016.
## Identity
- **NPI:** 1770949117 (Entity type: Organization)
- **Enumerated:** January 14, 2016
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Michael Krumholz, OWNER
## Practice location
- **Address:** 111 E 80TH ST, SUITE 1C, New York, NY 10075-0334
- **Phone:** (212) 734-5533 · **Fax:** (212) 717-1688
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Gastroenterology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1770949117) · Data from the CMS NPPES public registry.