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DR. ANNELISE MARIE LUPICA M.D.
NPI 1790134880
Pediatrics in New York, NY

Active since June 09, 2016PECOS Enrolled
3985 BROADWAY, NEW YORK, NY 10032(917) 305-6059 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2024, Sep 11, 2020, Aug 7, 2019 (3 updates tracked since 2019).

About Dr. Annelise Marie Lupica M.d. NPPES

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

DR. ANNELISE MARIE LUPICA M.D. (NPI 1790134880) is an individual pediatrics provider in New York, New York, licensed in New York (300156) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790134880
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ANNELISE MARIE LUPICACredential: M.D.
Location Address3985 BROADWAYNew York, NY 10032
Mailing Address229 W 116th St Apt 5aNew York, NY 10026-2799 · (818) 720-9655
Phone(917) 305-6059
Sole ProprietorNo
Enumeration DateJune 9, 2016
Last NPPES UpdateMarch 23, 20243 updates tracked since enumeration
NPPES CertifiedMarch 23, 2024
✔ NPI 1790134880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 300156✔ Licensed in CA · A168984
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3985 BROADWAY, New York, NY 10032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Annelise Marie Lupica M.d. 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 Reassignments

4

Medicare enrollment records show Annelise Lupica reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of Columbia University In The City Of New York
Same address
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876
Bronxcare Health System
1.5 mi
Internal Medicine
1650 GRAND CONCOURSE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1245390855 (718) 901-8600
St. John's Community Health
2,358 mi
Community Health
82025 HIGHWAY 111, UNIT 101
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 404 clinicians in this Medicare group
NPI 1609624980 (323) 541-1600
Children's Hospital Los Angeles Medical Group, Inc.
2,455 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LUZ AROCHO NP
Nurse Practitioner (Adult Health)
3985 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-6204

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 Annelise Lupica's NPI number?

The NPI number for Annelise Lupica is 1790134880. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Annelise Lupica located?

Annelise Lupica practices at 3985 Broadway, New York, NY 10032. The listed phone number is (917) 305-6059.

What is Annelise Lupica's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Annelise Lupica enrolled in Medicare?

Yes. Annelise Lupica is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Annelise Lupica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annelise Lupica reassigns Medicare benefits to 4 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Bronxcare Health System (Bronx, NY), St. John's Community Health (Indio, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Annelise Lupica'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 Annelise Lupica was last updated on March 23, 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.