PAUL PROMADHATTVEDI M.D.
NPI 1992231294
General Practice in New York, NY
About Paul Promadhattvedi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL PROMADHATTVEDI M.D. (NPI 1992231294) is an individual general practice provider in New York, New York, licensed in New York (301528) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Darby.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paul Promadhattvedi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Promadhattvedi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 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.
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 Paul Promadhattvedi's NPI number?
The NPI number for Paul Promadhattvedi is 1992231294. It was assigned to this individual provider in the NPPES registry on May 4, 2017.
Where is Paul Promadhattvedi located?
Paul Promadhattvedi practices at 255 Fort Washington Ave Apt 41, New York, NY 10032. The listed phone number is (917) 328-3232.
What is Paul Promadhattvedi's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Paul Promadhattvedi enrolled in Medicare?
Yes. Paul Promadhattvedi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paul Promadhattvedi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Promadhattvedi reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, 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 Paul Promadhattvedi'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 Paul Promadhattvedi was last updated on December 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Paul Promadhattvedi, M.D. · NPI 1992231294
General Practice physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 4, 2017.
## Identity
- **NPI:** 1992231294 (Entity type: Individual)
- **Enumerated:** May 4, 2017
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 301528 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 255 FORT WASHINGTON AVE APT 41, New York, NY 10032-1252
- **Phone:** (917) 328-3232
## 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:** Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1992231294) · Data from the CMS NPPES public registry.