DR. IVY DWOMOH M.D
NPI 1952786659
Pediatrics in New York, NY
About Dr. Ivy Dwomoh M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IVY DWOMOH M.D (NPI 1952786659) is an individual pediatrics provider in New York, New York, licensed in Connecticut (60106) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Middlebury.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ivy Dwomoh M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ivy Dwomoh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterbury, CT 06708
- Reassigned Medicare billing, Connecticut enrollment
- 152 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ivy Dwomoh's NPI number?
The NPI number for Ivy Dwomoh is 1952786659. It was assigned to this individual provider in the NPPES registry on July 23, 2015.
Where is Ivy Dwomoh located?
Ivy Dwomoh practices at 506 Lenox Avneue, New York, NY 10037. The listed phone number is (212) 939-1000.
What is Ivy Dwomoh's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ivy Dwomoh enrolled in Medicare?
Yes. Ivy Dwomoh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ivy Dwomoh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Dwomoh reassigns Medicare benefits to 2 organizations: Uconn Health Community Network Medical Group, Inc. (Waterbury, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). 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 Ivy Dwomoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivy Dwomoh accept?
Health plans from Anthem Blue Cross and Blue Shield list Ivy Dwomoh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ivy Dwomoh was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Ivy Dwomoh, M.D · NPI 1952786659
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 23, 2015.
## Identity
- **NPI:** 1952786659 (Entity type: Individual)
- **Enumerated:** July 23, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 60106 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 LENOX AVNEUE, New York, NY 10037-1802
- **Phone:** (212) 939-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Uconn Health Community Network Medical Group, Inc. (NPI 1548119522, Waterbury, CT); Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1952786659) · Data from the CMS NPPES public registry.