Individual provider Active NPI

Michelle Bejar

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1013395797
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
294947 Issued in NY
Practice address
130 W Tremont Ave
Bronx, NY 10453-5436
Phone
(718) 583-9000
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 294947 NY Primary

Addresses

Primary practice location

130 W Tremont Ave
Bronx, NY 10453-5436

Mailing address

130 W Tremont Ave
Bronx, NY 10453-5436
Phone (718) 583-9000

Other practice location 1

16 E 16th St
New York, NY 10003-3105
Phone (212) 206-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823002887 NY Practitioner - Family Practice 5193015675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

130 W Tremont Ave
Bronx, NY 10453-5436
Phone (718) 583-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
The Institute for Family Health Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
The Institute for Family Health Family Medicine Current Accepting new patients
The Institute for Family Health Family Medicine Past Accepting new patients

Locations

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

50 E 168th St
#98
Bronx, NY 10452
Phone (718) 293-3900

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1013395797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535436",
            "telephone_number": "718-583-9000",
            "fax_number": "212-206-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535436",
            "telephone_number": "718-583-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 E 16th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033105",
            "country_code": "US",
            "telephone_number": "212-206-5250",
            "fax_number": "212-206-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEJAR",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "294947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.