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RADEYAH HACK M.D.
NPI 1811330871
Internal Medicine in New York, NY

Active since April 09, 2013PECOS Enrolled
110 W 97TH ST, NEW YORK, NY 10025(212) 749-1820 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Radeyah Hack M.d. NPPES

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

RADEYAH HACK M.D. (NPI 1811330871) is an individual internal medicine provider in New York, New York, licensed in New York (283819) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811330871
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRADEYAH HACKCredential: M.D.
Location Address110 W 97TH STNew York, NY 10025-6450
Mailing Address110 W 97th StNew York, NY 10025-6450 · (212) 749-1820
Phone(212) 749-1820
Sole ProprietorYes
Enumeration DateApril 9, 2013
Last NPPES UpdateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1811330871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 283819
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
110 W 97TH ST, New York, NY 10025
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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)

Radeyah Hack 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

2

Medicare enrollment records show Radeyah Hack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

William F Ryan Community Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
110 W 97TH ST
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 186 clinicians in this Medicare group
NPI 1851328199 (212) 749-1820
Nyu Langone Hospitals
3.6 mi
Internal Medicine
530 1ST AVE
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 616 clinicians in this Medicare group
NPI 1790975944 (212) 460-0110

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 10025 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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 20

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

MRS. JULIE ANNE CHELOUCHE CPNP-PC, RN, CPN
Nurse Practitioner (Pediatrics)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 229-1060
CLAUDE LANIADO M.D
Psychiatry & Neurology (Psychiatry)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 316-7923
IMANI MARTELLY-MASDOUMIER LPN
Licensed Practical Nurse
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Clinic/Center
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
MR. BERTRAND TOULOUSE RN
Registered Nurse (General Practice)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
FERN FLECKMAN
Social Worker
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 316-7923
ALEJANDRA SOSA LPN
Licensed Practical Nurse
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820
MRS. ROCHELLE SLATZ N.P.
Nurse Practitioner (Family)
110 W 97TH ST
NEW YORK, NY 10025
New York County (212) 749-1820

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 Radeyah Hack's NPI number?

The NPI number for Radeyah Hack is 1811330871. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Radeyah Hack located?

Radeyah Hack practices at 110 W 97th St, New York, NY 10025. The listed phone number is (212) 749-1820.

What is Radeyah Hack's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Radeyah Hack enrolled in Medicare?

Yes. Radeyah Hack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Radeyah Hack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radeyah Hack reassigns Medicare benefits to 2 organizations: William F Ryan Community Health Center Inc (New York, NY) and Nyu Langone Hospitals (New York, NY). 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 Radeyah Hack'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 Radeyah Hack was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.