Alyson Rakel Pidich, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

280171 Issued in NY

Practice address

93 Bedford St Apt 2C
New York, NY 10014-3787

Phone

(833) 303-4325

Fax

(646) 871-6885

NPI assigned

Aug 28, 2013

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vytaliz Medical PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1053777201
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1215361183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BEDFORD ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143787",
            "telephone_number": "833-303-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BEDFORD ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143787",
            "telephone_number": "833-303-4325",
            "fax_number": "646-871-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDICH",
        "first_name": "ALYSON",
        "middle_name": "RAKEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT205349",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "280171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Picou, PHARMD
• Eve Picower, LCSW
• Federica Picozzi-Akke, MD
• Walter Piddoubny, M.D.
• Pidich Podiatry PC
• Casey Ann Pidich, DPM
• Anirudh Sai Pidugu, DDS
• Sofiya Pidzyraylo, MSW
• Elizabeth Alexandra Piech, LAC
• Wojciech Piechowski, PA-C

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.