JOHN FOX MD
NPI 1861476954
Internal Medicine - Cardiovascular Disease in New York, NY

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
10 UNION SQ E, BIMC DEPT OF HEART INSTITUTES, NEW YORK, NY 10003(212) 844-1988 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Fox Md NPPES

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

JOHN FOX MD (NPI 1861476954) is an individual cardiovascular disease provider in New York, New York, licensed in New York (190265) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1861476954
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN FOXCredential: MD
Location Address10 UNION SQ E, BIMC DEPT OF HEART INSTITUTESNew York, NY 10003-3314
Mailing AddressPo Box 95000-3765Philadelphia, PA 19195-3765 · (212) 844-1988
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateDecember 1, 2005
Last NPPES UpdateJanuary 15, 2013
NPI 1861476954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 190265
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
10 UNION SQ E, New York, NY 10003

Other Identifiers 3

Medicaid01780758NY
Medicare ID-Type Unspecified721871NY
Medicare UPING60506

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Fox 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.

PECOS PAC ID2365418688
PECOS Enrollment IDI20040908001097
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
120 services100 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
74 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
69 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services32 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

Psychiatry & Neurology (Neuromuscular Medicine)
10 UNION SQ E
NEW YORK, NY 10003
Psychiatry & Neurology (Neurology)
10 UNION SQ E
NEW YORK, NY 10003
Obstetrics & Gynecology
10 UNION SQ E
NEW YORK, NY 10003
Obstetrics & Gynecology
10 UNION SQ E
NEW YORK, NY 10003
Nurse Practitioner (Adult Health)
10 UNION SQ E
NEW YORK, NY 10003
Nurse Practitioner (Family)
10 UNION SQ E
NEW YORK, NY 10003
Dermatology
10 UNION SQ E, SUITE 3C
NEW YORK, NY 10003
Internal Medicine
10 UNION SQ E, 2M
NEW YORK, NY 10003

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 John Fox's NPI number?

The NPI number for John Fox is 1861476954. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is John Fox located?

John Fox practices at 10 Union Sq E Bimc Dept Of Heart Institutes, New York, NY 10003. The listed phone number is (212) 844-1988.

What is John Fox's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Fox enrolled in Medicare?

Yes. John Fox 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.

Is John Fox affiliated with any hospitals?

According to CMS data, John Fox is affiliated with Mount Sinai St Luke's Roosevelt Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for John Fox was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.