Active NPI
Manuel Eligio Mejia, MD
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 241121
- Practice address
- 1831 Grand Concourse FRNT a
Bronx, NY 10453-6324 - Phone
- (347) 577-5704
- Fax
- (347) 577-5803
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 241121 | NY | Primary |
Addresses
Primary practice location
1831 Grand Concourse FRNT a
Bronx, NY 10453-6324
Mailing address
1831 Grand Concourse FRNT a
Bronx, NY 10453-6324
Phone (347) 577-5804
Other practice location 1
66 Fort Washington Ave
New York, NY 10032-4711
Phone (646) 484-5455
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1831 Grand Concourse
FRNT a
Bronx, NY 10453-6324
Phone (347) 577-5804
66 Fort Washington Ave
New York, NY 10032-4711
Phone (646) 484-5455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241121 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Concourse Medical Practice, P.C. | Internal Medicine | Current | Accepting new patients |
| Omni Medical of Ny, PC | Past | Accepting new patients |
Locations
1831 Grand Concourse
Frnt A
Bronx, NY 10453
Phone (347) 577-5804
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEECBA
- https://fhir4.healow.com/fhir/r4/GEECBA/Endpoint/GEECBA
- https://fhir4.healow.com/fhir/r4/JDACBD/Endpoint/JDACBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1265744197
-
- Internal Medicine Physician
- New York, NY
- NPI 1255842613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1114035193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 GRAND CONCOURSE FRNT A",
"city": "BRONX",
"state": "NY",
"postal_code": "104536324",
"telephone_number": "347-577-5804",
"fax_number": "347-577-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 GRAND CONCOURSE FRNT A",
"city": "BRONX",
"state": "NY",
"postal_code": "104536324",
"telephone_number": "347-577-5704",
"fax_number": "347-577-5803"
}
],
"practiceLocations": [
{
"address_1": "66 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100324711",
"country_code": "US",
"telephone_number": "646-484-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEJIA",
"first_name": "MANUEL",
"middle_name": "ELIGIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "241121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.