DR. DALLAS JORDAN KINGSBURY M.D.
NPI 1871868489
Physical Medicine & Rehabilitation in New York, NY
About Dr. Dallas Jordan Kingsbury M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DALLAS JORDAN KINGSBURY M.D. (NPI 1871868489) is an individual physical medicine & rehabilitation provider in New York, New York, licensed in New York (269706) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dallas Jordan Kingsbury M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dallas Kingsbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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.
Other Providers at the Same Location NPPES 7
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 Dallas Kingsbury's NPI number?
The NPI number for Dallas Kingsbury is 1871868489. It was assigned to this individual provider in the NPPES registry on March 14, 2012.
Where is Dallas Kingsbury located?
Dallas Kingsbury practices at 251 5th Ave Fl 7, New York, NY 10016. The listed phone number is (917) 780-5300.
What is Dallas Kingsbury's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Dallas Kingsbury enrolled in Medicare?
Yes. Dallas Kingsbury is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dallas Kingsbury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Kingsbury reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Dallas Kingsbury'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 Dallas Kingsbury was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.