KERSHA PENNICOTT MD
NPI 1932527652
Pediatrics in New York, NY

Active since March 31, 2014Opted out of Medicare · through Jan 1, 2027
ATRIA, 36 E 57TH STREET 45TH FL., NEW YORK, NY 10022(212) 600-2000(914) 607-4731 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, May 9, 2021, Mar 4, 2020 (3 updates tracked since 2020).

About Kersha Pennicott Md NPPES

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

KERSHA PENNICOTT MD (NPI 1932527652) is an individual pediatrics provider in New York, New York, licensed in New York (310013) and active in the NPI registry since March 2014. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932527652
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKERSHA PENNICOTTCredential: MD
Location AddressATRIA, 36 E 57TH STREET 45TH FL.New York, NY 10022
Mailing Address800 Westchester Ave Ste N715Rye Brook, NY 10573-1369 · (914) 607-5730 · Fax (914) 457-1195
Fax(914) 607-4731
Sole ProprietorNo
Enumeration DateMarch 31, 2014
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2021
NPI 1932527652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NY · 310013 Licensed in FL · 132150
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
ATRIA, New York, NY 10022

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kersha Pennicott Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

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.

Internal Medicine
ATRIA, 36 E 57TH STREET 5TH FL
NEW YORK, NY 10022
Physician Assistant
ATRIA, 36 E 57TH 5TH FL
NEW YORK, NY 10022
Physician Assistant
ATRIA, 36 E 57TH STREET 5TH FL
NEW YORK, NY 10022
Internal Medicine
ATRIA, 36 E 57TH STREET 5TH FL
NEW YORK, NY 10022
Nurse Practitioner (Family)
ATRIA, 36 E 57TH STREET 5TH FL
NEW YORK, NY 10022
Physician Assistant
ATRIA, 36 E 57TH STREET 5TH FL
NEW YORK, NY 10022
Nurse Practitioner (Family)
ATRIA, 36 E 57TH STREET 5TH FL.
NEW YORK, NY 10022
Pediatrics
ATRIA, 36 E 57TH STREET 5TH FL
NEW YORK, NY 10022

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 Kersha Pennicott's NPI number?

The NPI number for Kersha Pennicott is 1932527652. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Kersha Pennicott located?

Kersha Pennicott practices at Atria 36 E 57th Street 45th Fl., New York, NY 10022. The listed phone number is (212) 600-2000.

What is Kersha Pennicott's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kersha Pennicott enrolled in Medicare?

No. Kersha Pennicott has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kersha Pennicott was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.