DR. REBECCA S FISK MD
NPI 1780669911
Pediatrics in New York, NY
About Dr. Rebecca S Fisk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REBECCA S FISK MD (NPI 1780669911) is an individual pediatrics provider in New York, New York, licensed in New York (188532) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rebecca S Fisk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Fisk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10003 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.
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 Rebecca Fisk's NPI number?
The NPI number for Rebecca Fisk is 1780669911. It was assigned to this individual provider in the NPPES registry on December 9, 2005.
Where is Rebecca Fisk located?
Rebecca Fisk practices at 10 Union Square East Bimc Dept Of Pediatrics, New York, NY 10003. The listed phone number is (212) 420-2946.
What is Rebecca Fisk's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Rebecca Fisk enrolled in Medicare?
Yes. Rebecca Fisk is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rebecca Fisk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Fisk reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, 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 Rebecca Fisk'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 Rebecca Fisk was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Rebecca S Fisk, MD · NPI 1780669911
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since December 9, 2005.
## Identity
- **NPI:** 1780669911 (Entity type: Individual)
- **Enumerated:** December 9, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 188532 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 UNION SQUARE EAST, BIMC DEPT OF PEDIATRICS, New York, NY 10003
- **Phone:** (212) 420-2946
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2007
- **Other identifiers:** Medicare PIN 520151 (NY); Medicaid 01977893 (NY); Medicare UPIN G04366
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Source: [NPI Profile](https://npiprofile.com/npi/1780669911) · Data from the CMS NPPES public registry.