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DR. NYDIA ELENA PROVIDENCE M.D.
NPI 1861552333
Internal Medicine in New York, NY

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5141 BROADWAY, NEW YORK, NY 10034(212) 932-4439 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nydia Elena Providence M.d. NPPES

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

DR. NYDIA ELENA PROVIDENCE M.D. (NPI 1861552333) is an individual internal medicine provider in New York, New York, licensed in New York (203890) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1861552333
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NYDIA ELENA PROVIDENCECredential: M.D.
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address630 W 168th St # 4, Vc 12th Floor, Suite 208New York, NY 10032-3725
Phone(212) 932-4439
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 12, 2006
Last NPPES UpdateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1861552333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 203890
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.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 203890 (NY)
5141 BROADWAY, New York, NY 10034
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Other Identifiers 1

Medicaid01769699NY

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

Dr. Nydia Elena Providence M.d. 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 ID3779572698
PECOS Enrollment IDI20040506001750
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
255 services157 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
185 services145 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
106 services106 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
63 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services43 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims49 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims20 services$0.85 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier15 claims15 services$31.41 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$12.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMANDA SARA BROWN RN
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4165
BRITNEY SAMIRA MATTHEWS NP
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
RAHUL SHAH M.D.
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
SONIKA KAUR CHOUHAN
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
DR. DEAN CHOU MD
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 305-7376
MS. KAREN MERYL STUGENSKY RPA-C
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
New York County (212) 932-4125
DEREK MAZIQUE
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
KRISTEN MICHELE MITCHELL PA
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4171

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 Nydia Providence's NPI number?

The NPI number for Nydia Providence is 1861552333. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Nydia Providence located?

Nydia Providence practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-4439.

What is Nydia Providence's specialty?

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

Is Nydia Providence enrolled in Medicare?

Yes. Nydia Providence 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 Nydia Providence affiliated with any hospitals?

According to CMS data, Nydia Providence is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Nydia Providence was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.