DR. ESRA NIMET BAYRAM-FIDAN MD
NPI 1912587429
Student in an Organized Health Care Education/Training Program in Riverhead, NY

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
1300 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-1600 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Apr 9, 2021 (2 updates tracked since 2021).

About Dr. Esra Nimet Bayram-fidan Md NPPES

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

DR. ESRA NIMET BAYRAM-FIDAN MD (NPI 1912587429) is an individual student in an organized health care education/training program in Riverhead, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912587429
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ESRA NIMET BAYRAM-FIDANCredential: MD
Location Address1300 ROANOKE AVERiverhead, NY 11901-2031
Mailing Address1300 Roanoke AveRiverhead, NY 11901-2031 · (631) 727-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1912587429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 ROANOKE AVE, Riverhead, NY 11901

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. Esra Nimet Bayram-fidan 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 ID4587104906
PECOS Enrollment IDI20240911003154
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 Esra Bayram-fidan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
213 MONTAUK HWY
West Sayville, NY 11796
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Chs Physician Partners PC
  • 944 clinicians in this Medicare group
Mental Health
950 S OYSTER BAY RD
Hicksville, NY 11801
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Harmony Health Care Long Island
  • 107 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.

Areas of Expertise CMS Part B claims

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.
15 services15 patients

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.

Emergency Medicine
1300 ROANOKE AVE, DEPARTMENT OF EMERGENCY MEDICINE
RIVERHEAD, NY 11901
Hospitalist
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Emergency Medicine
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Anesthesiology
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Adult Health)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Anesthetist, Certified Registered
1300 ROANOKE AVE
RIVERHEAD, NY 11901
Surgery
1300 ROANOKE AVE
RIVERHEAD, NY 11901

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 Esra Bayram-fidan's NPI number?

The NPI number for Esra Bayram-fidan is 1912587429. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Esra Bayram-fidan located?

Esra Bayram-fidan practices at 1300 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-1600.

What is Esra Bayram-fidan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Esra Bayram-fidan enrolled in Medicare?

Yes. Esra Bayram-fidan 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 organizations bill Medicare for Esra Bayram-fidan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esra Bayram-fidan reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (West Sayville, NY) and Long Island FQHC, Inc. (Hicksville, 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 Esra Bayram-fidan'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 Esra Bayram-fidan was last updated on March 1, 2023. 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.