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DR. JESSICA DEKHTYAR M.D.
NPI 1992083703
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 27, 2011PECOS Enrolled
100/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: July 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jessica Dekhtyar M.d. NPPES

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

DR. JESSICA DEKHTYAR M.D. (NPI 1992083703) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2009).

NPPES Registry Identity

NPI1992083703
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSICA DEKHTYARCredential: M.D.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2009
Enumeration DateJuly 27, 2011
✔ NPI 1992083703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Dekhtyar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597915983
PECOS Enrollment IDI20121019000549
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 Reassignment

Medicare enrollment records show Jessica Dekhtyar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Jessica Dekhtyar's NPI number?

The NPI number for Jessica Dekhtyar is 1992083703. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Jessica Dekhtyar located?

Jessica Dekhtyar practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Jessica Dekhtyar's specialty?

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

Is Jessica Dekhtyar enrolled in Medicare?

Yes. Jessica Dekhtyar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Dekhtyar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Dekhtyar reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Jessica Dekhtyar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Dekhtyar affiliated with any hospitals?

According to CMS data, Jessica Dekhtyar is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Dekhtyar was last updated on July 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.