CAROL DERSARKISSIAN MD
NPI 1801830625
Emergency Medicine in New York, NY

Active since June 15, 2006PECOS Enrolled
76.52/100
CMS Quality Rating
431 E 20TH ST, SUITE 11B, NEW YORK, NY 10010(917) 566-9501(917) 590-9861 Get Directions Write a Review

NPPES record last updated: July 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2025, Jul 11, 2022, Mar 22, 2021 and 1 more (4 updates tracked since 2019).

About Carol Dersarkissian Md NPPES

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

CAROL DERSARKISSIAN MD (NPI 1801830625) is an individual emergency medicine provider in New York, New York, licensed in New York (221060) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1801830625
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAROL DERSARKISSIANCredential: MD
Location Address431 E 20TH ST, SUITE 11BNew York, NY 10010
Mailing Address431 E 20th St, Suite 11bNew York, NY 10010 · (917) 566-9501 · Fax (917) 590-9861
Fax(917) 590-9861
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 6, 20254 updates tracked since enumeration
NPPES CertifiedJuly 6, 2025
NPI 1801830625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 221060
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSpecialistTaxonomy 174400000X · License 221060 (NY)
431 E 20TH ST, New York, NY 10010

Secondary Practice Location 1

Location 1195 Page Mill Rd Ste 103Palo Alto, CA 94306-2073 · Phone (888) 731-8994

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol Dersarkissian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234327867
PECOS Enrollment IDI20101227000578, I20260507000883, I20260608000023
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 10010 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

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 Carol Dersarkissian's NPI number?

The NPI number for Carol Dersarkissian is 1801830625. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Carol Dersarkissian located?

Carol Dersarkissian practices at 431 E 20th St Suite 11B, New York, NY 10010. The listed phone number is (917) 566-9501.

What is Carol Dersarkissian's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carol Dersarkissian enrolled in Medicare?

Yes. Carol Dersarkissian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Dersarkissian was last updated on July 6, 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.