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TRICIA BAUTISTA MD
NPI 1962039289
Family Medicine - Addiction Medicine in New York, NY

Active since March 25, 2020PECOS Enrolled
55 WATER ST FL 18, NEW YORK, NY 10041(510) 708-0921 Get Directions Write a Review

NPPES record last updated: August 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2024, Jun 12, 2023, May 26, 2023 and 1 more (4 updates tracked since 2020).

About Tricia Bautista Md NPPES

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

TRICIA BAUTISTA MD (NPI 1962039289) is an individual addiction medicine provider in New York, New York, licensed in New York (330293) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962039289
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameTRICIA BAUTISTACredential: MD
Location Address55 WATER ST FL 18New York, NY 10041-0055
Mailing Address55 Water St Fl 18New York, NY 10041-0055
Phone(510) 708-0921
Sole ProprietorYes
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 18, 20244 updates tracked since enumeration
NPPES CertifiedAugust 18, 2024
✔ NPI 1962039289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Licenses✔ Licensed in NY · 330293✔ Licensed in CA · A180675
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
55 WATER ST FL 18, New York, NY 10041
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321
Location 21025 N Douty StHanford, CA 93230-3722 · Phone (559) 537-0224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tricia Bautista Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10041 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNG IL PARK NP
Nurse Practitioner (Family)
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (347) 613-0039
MISS REBECCA LAUREN GIUSTI M.D.
Family Medicine
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (646) 614-0842
ALEXANDER S WELLER MD
Hospitalist
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (347) 774-8000
MARIE L KOLOKOTSAS RN
Registered Nurse (General Practice)
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (646) 614-7000
DR. RACHAEL ELIZABETH BEDARD M.D.
Student in an Organized Health Care Education/Training Program
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (646) 614-0328

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 Tricia Bautista's NPI number?

The NPI number for Tricia Bautista is 1962039289. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Tricia Bautista located?

Tricia Bautista practices at 55 Water St Fl 18, New York, NY 10041. The listed phone number is (510) 708-0921.

What is Tricia Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Tricia Bautista enrolled in Medicare?

Yes. Tricia Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tricia Bautista was last updated on August 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.