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MS. SIPORA DERKHIDAM
NPI 1801265848
Nurse Practitioner - Family in Brooklyn, NY

Active since September 21, 2015PECOS Enrolled
1238 E 27TH ST, BROOKLYN, NY 11210(347) 721-5002 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sipora Derkhidam NPPES

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

MS. SIPORA DERKHIDAM (NPI 1801265848) is an individual family provider in Brooklyn, New York, licensed in New York (340067) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801265848
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SIPORA DERKHIDAM
Location Address1238 E 27TH STBrooklyn, NY 11210-4623
Mailing Address1238 E 27th StBrooklyn, NY 11210-4623 · (347) 721-5002
Phone(347) 721-5002
Sole ProprietorYes
Enumeration DateSeptember 21, 2015
✔ NPI 1801265848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 340067
1238 E 27TH ST, Brooklyn, NY 11210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sipora Derkhidam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11210 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.

Other Providers at the Same Location NPPES

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

AYELET DERKHIDAM
Occupational Therapist
1238 E 27TH ST
BROOKLYN, NY 11210
Kings County (347) 517-8353

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 Sipora Derkhidam's NPI number?

The NPI number for Sipora Derkhidam is 1801265848. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Sipora Derkhidam located?

Sipora Derkhidam practices at 1238 E 27th St, Brooklyn, NY 11210. The listed phone number is (347) 721-5002.

What is Sipora Derkhidam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sipora Derkhidam enrolled in Medicare?

Yes. Sipora Derkhidam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sipora Derkhidam was last updated on September 21, 2015. 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.