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MICHAEL TREVISONNO MD
NPI 1780114124
Internal Medicine - Rheumatology in Brooklyn, NY

Active since June 18, 2017PECOS Enrolled
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-4488 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Mar 14, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Michael Trevisonno Md NPPES

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

MICHAEL TREVISONNO MD (NPI 1780114124) is an individual rheumatology provider in Brooklyn, New York, licensed in New York (313723) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780114124
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL TREVISONNOCredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address450 Clarkson AveBrooklyn, NY 11203-2012 · Fax (810) 202-7885
Phone(718) 270-4488
Sole ProprietorYes
Enumeration DateJune 18, 2017
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1780114124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 313723
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
450 CLARKSON AVE, Brooklyn, NY 11203
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Trevisonno 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 Michael Trevisonno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC
11 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

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 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

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 Michael Trevisonno's NPI number?

The NPI number for Michael Trevisonno is 1780114124. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Michael Trevisonno located?

Michael Trevisonno practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-4488.

What is Michael Trevisonno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Trevisonno enrolled in Medicare?

Yes. Michael Trevisonno is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Trevisonno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Trevisonno reassigns Medicare benefits to Physician Affiliate Group Of New York PC (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 Michael Trevisonno'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 Michael Trevisonno was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.