DR. ANJELICA PEACOCK MD
NPI 1831651710
Dermatology in New York, NY
About Dr. Anjelica Peacock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANJELICA PEACOCK MD (NPI 1831651710) is an individual dermatology provider in New York, New York, licensed in New York (330446) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Anjelica Peacock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Anjelica Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10038
- Reassigned Medicare billing, New York enrollment
- 71 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 10012 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 13
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 Anjelica Peacock's NPI number?
The NPI number for Anjelica Peacock is 1831651710. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Anjelica Peacock located?
Anjelica Peacock practices at 214 Sullivan St, New York, NY 10012. The listed phone number is (212) 385-3700.
What is Anjelica Peacock's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Anjelica Peacock enrolled in Medicare?
Yes. Anjelica Peacock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Anjelica Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anjelica Peacock reassigns Medicare benefits to Bobby Buka, M.D., P.C. (New York, 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 Anjelica Peacock'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 Anjelica Peacock was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Anjelica Peacock, MD · NPI 1831651710
Dermatology physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1831651710 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 330446 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 214 SULLIVAN ST, New York, NY 10012-1354
- **Phone:** (212) 385-3700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bobby Buka, M.D., P.C. (NPI 1134349954, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831651710) · Data from the CMS NPPES public registry.